Individual provider Active NPI

Heather M Irvin, MD

  • Obstetrics & Gynecology Physician
  • Parkersburg, WV
National Provider Identifier
1790779205
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21425 Issued in WV
Practice address
604 Ann St
Parkersburg, WV 26101-5122
Phone
(304) 865-5065
Fax
(304) 865-5036
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21425 WV Primary

Addresses

Primary practice location

604 Ann St
Parkersburg, WV 26101-5122

Mailing address

604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 865-5065

Other identifiers 1

IdentifierTypeStateIssuer
3810000216MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hirvin108753@direct.wvuhsdirect.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621001749 WV Practitioner - Obstetrics/Gynecology 8426033713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 424-2400

Hospital & facility affiliations

  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation Obstetrics & Gynecology CurrentSince Mar 1, 2011 Accepting new patients
Columbia-St Josephs Healthcare System Limited Partnership Obstetrics & Gynecology Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Columbia St Joseph'S Healthcare System LP Past Accepting new patients

Locations

604 Ann St
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

705 Garfield Ave
Ste 310
Parkersburg, WV 26101
Phone (304) 424-4700

Interoperability endpoints

  • Direct secure messaging: hirvin108753@direct.wvuhsdirect.com

Organizations & group practices 4

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 2

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1790779205",
    "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": "304-865-5065",
            "fax_number": "304-865-5036"
        },
        {
            "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": "304-865-5065",
            "fax_number": "304-865-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "21425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000216",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hirvin108753@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "604 Ann St",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.