Camden-Clark Physician Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CAMDEN-CLARK PHYSICIAN CORPORATION

Practice address

604 Ann St
Parkersburg, WV 26101-5122

Phone

(304) 424-4593

Fax

(304) 424-4017

NPI assigned

Feb 3, 2009

Last updated

Oct 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sean Smith

Title

Executive Director

Phone

(304) 424-4985

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Enrollment records 2

Locations (25 of 29)

Practitioners 550

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.

• Ibrahim Abou Saleh, MD

  • Vascular Surgery Physician
  • Morgantown, WV
  • NPI 1235634692
  Medicare reassignment Care Compare group NPD
• Diane S Abshire, RNC FNP

  • Family Nurse Practitioner
  • Parkersburg, WV
  • NPI 1811995020
  Medicare reassignment Care Compare group NPD
• Kayla Roxanne Adams, NP

  • Family Nurse Practitioner
  • Charleston, WV
  • NPI 1366026965
  Medicare reassignment Care Compare group NPD
• Ameenjamal Khazi Syed Ahmed, MD

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1336637552
  Medicare reassignment Care Compare group NPD
• Joan R Allman, D.O.

  • Internal Medicine Physician
  • Parkersburg, WV
  • NPI 1457313850
  Medicare reassignment Care Compare group NPD
• Beth Ankrom

  • Family Nurse Practitioner
  • Parkersburg, WV
  • NPI 1932743671
  Medicare reassignment Care Compare group NPD
• Raegan Arnold

  • Nurse Practitioner
  • Parkersburg, WV
  • NPI 1326927708

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bernardo Assumpcao de Monaco, MD, PHD

  • Neurological Surgery Physician
  • Parkersburg, WV
  • NPI 1063162808
  Medicare reassignment Care Compare group NPD
• Jennifer Michelle Auxier, D.O.

  • Internal Medicine Physician
  • Parkersburg, WV
  • NPI 1821387929
  Medicare reassignment Care Compare group NPD
• Seyoum Daffo Bage, M.D.

  • Infectious Disease Physician
  • Vienna, WV
  • NPI 1609842640
  Medicare reassignment Care Compare group NPD
• Jenna M Bain, CRNP

  • Family Nurse Practitioner
  • Ronceverte, WV
  • NPI 1548823628
  Medicare reassignment Care Compare group NPD
• Wyatt Edward Baker

  • Gerontology Nurse Practitioner
  • Vienna, WV
  • NPI 1326704040
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1710125430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ANN ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015122",
            "telephone_number": "304-424-4593",
            "fax_number": "304-424-4017"
        },
        {
            "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": "304-424-4593",
            "fax_number": "304-424-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN-CLARK PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-424-4985"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camden Clark Memorial Hospital Corporation
• Camden-Clark Memorial Hospital Corporation (Camden Clark Medical Center)
• Camden-Clark Memorial Hospital Corporation (Camden Clark Outpatient Pharmacy)
• Camden-Clark Physician Corporation
• Camden-Clark Physician Corporation
• Marsha Camp
• Keith Campbell
• Marshall Albert Campbell
• Kaitlyn Cannon
• Linda L Cannon

• Surgery Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.