Cristina G. Estrada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16045 Issued in WV

Practice address

1301 Elizabeth Pike
Elizabeth, WV 26143

Phone

(304) 275-3301

Fax

(304) 275-4798

NPI assigned

Jun 17, 2005

Last updated

Mar 10, 2008By the provider in NPPES

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ritchie County Primary Care Assoc., Inc.

  dba Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Harrisville, WV
  • NPI 1265404230
  Medicare reassignment NPD
• Ritchie County Primary Care Assoc., Inc.

  dba Integrated Health Centers of West Virginia

  • Federally Qualified Health Center (FQHC)
  • Ellenboro, WV
  • NPI 1518083070
  NPD
• Dr. Matthew Isner, DC, PLLC

  • Chiropractor
  • Mineral Wells, WV
  • NPI 1134392509
  NPD (past)
• Wirt County Health Services Association Inc

  dba Ripley Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Ripley, WV
  • NPI 1043401730

  Family Medicine

  NPD (past)
• Wirt County Health Services Association Inc

  dba West Virginia University at Parkersburg Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Parkersburg, WV
  • NPI 1497484091
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1780689471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ELIZABETH PIKE",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "26143",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "CRISTINA",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106689000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389884",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Davis, MSN, APRN, FNP-C
• Loretta Lynn Deweese
• Timi Ann Dicecco
• Corinne Dickson
• Kelly Marie Digman, RN
• Ewv Holdings, LLC (Elizabeth Care Center)
• Lisa Farnsworth
• Emily Fernatt
• Melissa Fernatt
• David Ferrell II

• Family Medicine Physician in Elizabeth, WV
• Providers in Elizabeth, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.