Individual provider Active NPI

Carla H. McGlone, P.A.

  • Physician Assistant
  • Huntington, WV
National Provider Identifier
1477531697
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA390 Issued in KY
Practice address
1540 Spring Valley Drive
Huntington, WV 25704
Phone
(304) 429-6741
Fax
(304) 429-0262
NPI assigned
Jan 6, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA390 KY Primary

Addresses

Primary practice location

1540 Spring Valley Drive
Huntington, WV 25704

Mailing address

1540 Spring Valley Drive
Huntington, WV 25704
Phone (304) 429-6741

Other identifiers 1

IdentifierTypeStateIssuer
95003257MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124001440 KY Order and Referring Only - Physician Assistant 4587561485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Way Hospital, Inc Past Accepting new patients
Team Radiology Physicians, PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1477531697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25704",
            "telephone_number": "304-429-6741",
            "fax_number": "304-429-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DRIVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25704",
            "telephone_number": "304-429-6741",
            "fax_number": "304-429-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLONE",
        "first_name": "CARLA",
        "middle_name": "H.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95003257",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.