Paula Blount, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

00521 Issued in WV

Practice address

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Phone

(304) 388-4170

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Paula Yanero Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marlinton, WV
  • NPI 1164653457
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, WV
  • NPI 1619348844
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1619464369
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1891241030
  Medicare reassignment NPD
• Greenbrier Emergency Services, Inc.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1568401461
  Medicare reassignment
• Urgent Care, Inc.- West Virginia

  • Urgent Care Clinic/Center
  • South Charleston, WV
  • NPI 1912133315
  Medicare reassignment
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Slatyfork, WV
  • NPI 1215741665
  NPD
• Community Care of West Virginia Inc

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1851787121
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1700862091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVENUE SE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25304",
            "telephone_number": "304-388-4172",
            "fax_number": "304-388-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Emily Dr",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263015502",
            "country_code": "US",
            "telephone_number": "304-623-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOUNT",
        "first_name": "PAULA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "00521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1069532",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BCBS",
            "identifier": "001718072",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "YANERO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bob H Bloom, GENERAL DENTIST
• Juliet Bevan Bloom, MSW, LGSW
• Stewart H Bloom, GENERAL DENTIST
• Valarie Bloom, FNP-BC
• Blossom Therapy Services LLC
• Tonia Blount, PRSS
• Blue Lot MD PLLC
• Pamela Hines Blue, LPC
• Joseph Michael Blumer, D.O.
• Steven Bly

• Physician Assistant in Charleston, WV
• Providers in Charleston, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.