Organization Active NPI

Charla L. Anderson, M.D.

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1528394244
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHARLA L. ANDERSON, M.D.
Practice address
2115 Chapline St
Valley Professional Center, Suite 101
Wheeling, WV 26003-3859
Phone
(304) 234-3400
Fax
(304) 234-3401
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLA L. ANDERSON, M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Authorized official

Name
Charla Lynn Anderson, M.D.
Title
M.D.
Phone
(304) 234-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2115 Chapline St
Valley Professional Center, Suite 101
Wheeling, WV 26003-3859

Mailing address

2115 Chapline St
Valley Professional Center, Suite 101
Wheeling, WV 26003-3859
Phone (304) 234-3400

National Provider Directory

National Provider Directory
Part of
Charla L Anderson MD

Locations

2115 Chapline St
Ste 101
Wheeling, WV 26003
Phone (304) 234-3400

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1528394244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "VALLEY PROFESSIONAL CENTER, SUITE 101",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-234-3400",
            "fax_number": "304-234-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CHAPLINE ST",
            "address_2": "VALLEY PROFESSIONAL CENTER, SUITE 101",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033859",
            "telephone_number": "304-234-3400",
            "fax_number": "304-234-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLA L. ANDERSON, M.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLA L. ANDERSON, M.D.",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "304-234-3400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.