NPIMap

Organization Active NPI

Camden-Clark Physician Corporation

  • Obstetrics & Gynecology Physician
  • Parkersburg, WV
National Provider Identifier
1629899869
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CAMDEN-CLARK PHYSICIAN CORPORATION
Practice address
604 Ann St
Parkersburg, WV 26101-5122
Phone
(304) 865-5065
Fax
(304) 865-5066
NPI assigned
Oct 21, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Kyle Anthony Pierson
Title
Cfo
Phone
(304) 424-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

604 Ann St
Parkersburg, WV 26101-5122

Mailing address

PO Box 843
Morgantown, WV 26507-0843
Phone (304) 285-7101

National Provider Directory

National Provider Directory
Tax ID family
Camden-Clark Physician Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1629899869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070843",
            "telephone_number": "304-285-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015122",
            "telephone_number": "304-865-5065",
            "fax_number": "304-865-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN-CLARK PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-424-2202"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.