Colleen J Meriwether, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1488 Issued in WV

Practice address

1263 Main St E
White Sulphur Springs, WV 24986-5031

Phone

(304) 536-3665

NPI assigned

Sep 23, 2005

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1609862721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 MAIN ST E",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "24986",
            "telephone_number": "304-536-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 MAIN ST E",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249865031",
            "telephone_number": "304-536-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWETHER",
        "first_name": "COLLEEN",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1488",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "1488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055146000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Elizabeth Malcom
• Aire Autumn Mayberry
• Gloria McClung
• Cortney Danyel McCoy, PTA
• Alicia McIntire
• Randolph Eugene Modlin, M.D.
• Savanna Patricia Morgan
• Andrea Mullins
• NMB Therapeutics LLP
• Daniel Wallace Nunley, DDS

• Family Medicine Physician in White Sulphur Springs, WV
• Providers in White Sulphur Springs, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.