Active NPI
Deborah Louise Albert, M.D.
- Pediatric Surgery Physician
- Charleston, WV
National Provider Identifier
1891798799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 27623
- Practice address
- 830 Pennsylvania Ave Ste 202
Charleston, WV 25302-3389 - Phone
- (304) 388-1770
- Fax
- (304) 388-1775
- NPI assigned
- May 24, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 27623 | WV | Primary |
Addresses
Primary practice location
830 Pennsylvania Ave Ste 202
Charleston, WV 25302-3389
Mailing address
830 Pennsylvania Ave Ste 202
Charleston, WV 25302-3389
Phone (304) 388-1770
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891798799 | Medicaid | NC | |
| 064806000 | Medicaid | FL | |
| 5916046 | Medicaid | NC | |
| Q02092 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Specialty Services Inc | Past | Accepting new patients |
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.
-
- Surgery Physician
- Tampa, FL
- NPI 1750411237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1891798799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 PENNSYLVANIA AVE STE 202",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023389",
"telephone_number": "304-388-1770",
"fax_number": "304-388-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 PENNSYLVANIA AVE STE 202",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023389",
"telephone_number": "304-388-1770",
"fax_number": "304-388-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "WV",
"license": "27623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891798799",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064806000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5916046",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q02092",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.