NPIMap

Organization Active NPI

Oncall Health and Aesthetic Care

  • Psychiatry Physician
  • Ceredo, WV
National Provider Identifier
1679944383
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ONCALL HEALTH AND AESTHETIC CARE
Practice address
402 C Street
Ceredo, WV 25507
Phone
(304) 908-1204
Fax
(304) 908-1224
NPI assigned
Oct 8, 2015
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Timothy S Maynard, APRNNPI 1942618657
Title
Owner
Phone
(304) 908-1204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

402 C Street
Ceredo, WV 25507

Mailing address

PO Box 1251
Ceredo, WV 25507-1251
Phone (304) 453-9195

Other practice location 1

4220 Terrace Ave
Huntington, WV 25705-1749
Phone (304) 955-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160127001411 WV Part B Supplier - Clinic/Group Practice 9638472525 Receives reassigned benefits from 13 practitioners
Practice locations: Ceredo, WV; Huntington, WV; Ona, WV
O20240424002443 KY Part B Supplier - Clinic/Group Practice 9638472525 Receives reassigned benefits from 2 practitioners
Practice locations: Ashland, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2142546Oncall Health and Aesthetic Care402 C St, Ceredo, WV 25507Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

1308 Riverview Rd
Ashland, KY 41101
Phone (606) 638-4170

303 W 6th St
Ste 7
Ceredo, WV 25507
Phone (304) 654-1612

402 W 4th St
Ceredo, WV 25507

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1679944383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "255071251",
            "telephone_number": "304-453-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 C STREET",
            "city": "CEREDO",
            "state": "WV",
            "postal_code": "25507",
            "telephone_number": "304-908-1204",
            "fax_number": "304-908-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Terrace Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257051749",
            "country_code": "US",
            "telephone_number": "304-955-6300",
            "fax_number": "304-733-5903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONCALL HEALTH AND AESTHETIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-908-1204",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceredo, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.