Individual provider Active NPI

Joshua Deaton, PA-C

  • Physician Assistant
  • Webster Springs, WV
National Provider Identifier
1760776272
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01553 Issued in WV
Practice address
125 Diana Dr
Webster Springs, WV 26288-9078
Phone
(304) 847-5682
NPI assigned
Jun 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01553 WV
Physician Assistant 363A00000X 01553 WV Primary

Addresses

Primary practice location

125 Diana Dr
Webster Springs, WV 26288-9078

Mailing address

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Other practice location 1

324 Miller Mounain Drive
Webster Springs, WV 26288
Phone (304) 847-5682

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150729007316 WV Practitioner - Physician Assistant 4981918455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Memorial Hospital IncGroup PAC ID 6709275373, 9 clinicians

Practice addresses (Care Compare)

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
524WVMDProfessional Counselor
01553WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Memorial Hospital, Inc. Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients

Locations

70 Technology Ln
Cowen, WV 26206
Phone (304) 226-3150

125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682

Interoperability endpoints

  • Direct secure messaging: joshd@wcmhwv.securechart.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1760776272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Miller Mounain Drive",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "26288",
            "country_code": "US",
            "telephone_number": "304-847-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEATON",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01553",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.