Active NPI
Regina D Grome, PA-C
- Physician Assistant
- Barboursville, WV
National Provider Identifier
1891769485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 00291
- Practice address
- 143 Peyton Street
Barboursville, WV 25504 - Phone
- (304) 697-2035
- Fax
- (304) 523-1485
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00291 | WV | Primary |
Addresses
Primary practice location
143 Peyton Street
Barboursville, WV 25504
Mailing address
PO Box 4190
Barboursville, WV 25504-4190
Phone (304) 399-4405
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000471 | Medicaid | WV | |
| 001719144 | Other | MS BC/BS | |
| 110117516 | Other | RR MEDICARE |
Other names 1
- Regina D Arnold
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00291 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1891769485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4190",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255044190",
"telephone_number": "304-399-4405",
"fax_number": "304-399-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 PEYTON STREET",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "25504",
"telephone_number": "304-697-2035",
"fax_number": "304-523-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROME",
"first_name": "REGINA",
"middle_name": "D",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "00291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810000471",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS BC/BS",
"identifier": "001719144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110117516",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "ARNOLD",
"middle_name": "D",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.