NPIMap

Individual provider Active NPI

Zane A Dennison, DO

  • Family Medicine Physician
  • Bridgeport, WV
National Provider Identifier
1649769639
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3663 Issued in WV
Practice address
527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone
(681) 342-3600
Fax
(681) 342-3625
NPI assigned
May 4, 2018
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 3663 WV Primary

Addresses

Primary practice location

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010

Mailing address

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone (681) 342-3600

Other practice location 1

617 River St
Gassaway, WV 26624-1137
Phone (304) 364-2401

Other practice location 2

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zdennison119591@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001689 WV Practitioner - Family PracticePractitioner - Emergency Medicine 2062762743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial HospitalGroup PAC ID 5193717759, 46 clinicians

Practice addresses (Care Compare)

617 River St
Gassaway, WV 26624-1137
Phone (304) 364-2401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3663WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton County Memorial Hospital CurrentSince Jul 6, 2021 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jul 6, 2021 Accepting new patients

Locations

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

617 River St
Gassaway, WV 26624
Phone (304) 364-2401

Interoperability endpoints

  • Direct secure messaging: zdennison119591@direct.wvuhsdirect.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1649769639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 500",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309010",
            "telephone_number": "681-342-3600",
            "fax_number": "681-342-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 500",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309010",
            "telephone_number": "681-342-3600",
            "fax_number": "681-342-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 River St",
            "address_purpose": "LOCATION",
            "city": "Gassaway",
            "state": "WV",
            "postal_code": "266241137",
            "country_code": "US",
            "telephone_number": "304-364-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hoylman Dr",
            "address_purpose": "LOCATION",
            "city": "Gassaway",
            "state": "WV",
            "postal_code": "266249318",
            "country_code": "US",
            "telephone_number": "304-364-5156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "ZANE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-04",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zdennison119591@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "617 River St",
            "city": "Gassaway",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266241137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.