Jordan Beckett, DO
Individual provider Active NPI Pediatrics Physician · Parkersburg, WV
NPI 1447645007 · NPPES record last updated Jul 21, 2020
Key facts
- NPI
- 1447645007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 3299 (WV)
- Practice address
- 414 Grand Park Dr Ste 1
Parkersburg, WV 26105-4065 - Phone
- (304) 599-8000
- Fax
- (304) 599-8003
- NPI assigned
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820003765 | WV | Practitioner - Pediatric Medicine | 0042511743 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Pediatrics | Current |
Accepting new patients |
| Camden-Clark Physician Corporation | Current |
Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Cardinal Pediatrics PLLC | Pediatrics | Past |
Accepting new patients |
Locations
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
2107 Pike St
Ste 6
Parkersburg, WV 26101
Phone (304) 865-5500
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 3299 | WV | |
| Pediatrics Physician | 208000000X | 3299 | WV | Yes |
Addresses
Primary practice location
414 Grand Park Dr Ste 1
Parkersburg, WV 26105-4065
Mailing address
1247 Suncrest Town Centre Dr
Morgantown, WV 26505-1876
Phone (304) 599-8000
Other practice location 1
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4411
Other names
- Jordan Hartshorn
Other providers in Parkersburg, WV
- Matthew Lee Beard
- Jessica Beaty
- Jennifer Dawn Beaver
- Sandra Beaver
- Michael Becker
- Catherine Beebe
- Wendy Diane Beech
- Joy E Beeler
- Eric Tod Beeson
- Mary J Begole
All providers in Parkersburg, WV · Pediatrics Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.