Diane L. Rader, PA-C
Individual provider Active NPI Physician Assistant · Harman, WV
NPI 1538157698 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1538157698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 501 (WV)
- Practice address
- 15 Mott Street
Harman, WV 26270 - Phone
- (304) 227-4134
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pendleton Community Care Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 501 | WV | Yes |
Addresses
Primary practice location
15 Mott Street
Harman, WV 26270
Mailing address
PO Box 100
82 Pine Street
Franklin, WV 26807-0100
Phone (304) 358-2355
Other providers in Harman, WV
- Darren Nelson
- Kelly New
- Pendleton Community Care Inc
- Pendleton Community Care, Inc
- Pendleton Community Care, Inc.
- Leslie Roy
- Teresa Snyder
All providers in Harman, WV · Physician Assistant 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 May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.