Individual provider Active NPI

Keri Elizabeth Ramsey, PA-C

  • Physician Assistant
  • Clarksburg, WV
National Provider Identifier
1720617889
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2335 Issued in WV
Practice address
700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone
(304) 623-6330
Fax
(304) 623-6220
NPI assigned
Apr 2, 2020
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2335 WV Primary

Addresses

Primary practice location

700 Oakmound Rd
Clarksburg, WV 26301-9398

Mailing address

700 Oakmound Rd
Clarksburg, WV 26301-9398
Phone (304) 623-6330

Other practice location 1

527 Medical Park Dr Ste 306
Bridgeport, WV 26330-9010
Phone (304) 933-3830

Other names 1

  • Keri Elizabeth Bedillion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2335WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksburg Cardiovascular PLLC CurrentSince Apr 1, 2020 Accepting new patients
Clarksburg Cardiology Consultants CurrentSince Apr 1, 2020 Accepting new patients

Locations

527 Medical Park Dr
Ste 306
Bridgeport, WV 26330
Phone (304) 933-3830

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1720617889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OAKMOUND RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019398",
            "telephone_number": "304-623-6330",
            "fax_number": "304-623-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Medical Park Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309010",
            "country_code": "US",
            "telephone_number": "304-933-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "KERI",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "BEDILLION",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.