Charleston Gynecology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2105 Issued in WV

Legal business name

CHARLESTON GYNECOLOGY PLLC

Practice address

500 Poplar St
Suite 203
South Charleston, WV 25309-1474

Phone

(304) 414-4810

Fax

(304) 414-4819

NPI assigned

Jun 25, 2014

Last updated

Jun 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michaela Elaine Kessler, DO

Title

Physician

Phone

(304) 414-4810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1881009181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST",
            "address_2": "SUITE 203",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091474",
            "telephone_number": "304-414-4810",
            "fax_number": "304-414-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST",
            "address_2": "SUITE 203",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091474",
            "telephone_number": "304-414-4810",
            "fax_number": "304-414-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-414-4810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012911",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Area Medical Center, Inc.
• Charleston Area Medical Center, Inc.
• Charleston Area Medical Center, Inc.
• Charleston Area Medical Center, Inc.
• Charleston Gastroenterology Associates
• Charleston Nephrology Hypertension and Transplant, PLLC
• Charleston Obstetrics and Gynecology Associates PLLC
• Allison Charlton
• Alyssa Charlton
• Yalanda Rochelle Chase-Walker

• Specialist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.