NPIMap

Organization Active NPI

Camden Clark Memorial Hospital Corporation

  • Nephrology Physician
  • Parkersburg, WV
National Provider Identifier
1750210993
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Practice address
418 Grand Park Dr Ste 321
Parkersburg, WV 26105-4000
Phone
(304) 865-5105
NPI assigned
May 14, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Kyle Anthony Pierson
Title
VP Finance
Phone
(304) 424-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

418 Grand Park Dr Ste 321
Parkersburg, WV 26105-4000

Mailing address

PO Box 887
Morgantown, WV 26507-0887

National Provider Directory

National Provider Directory
Tax ID family
Camden Clark Memorial H19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

418 Grand Park Dr
Ste 321
Parkersburg, WV 26105
Phone (304) 865-5185

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1750210993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GRAND PARK DR STE 321",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054000",
            "telephone_number": "304-865-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "304-424-2202"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.