Active NPI
Christy L. Treadway, MD
- Internal Medicine Physician
- Charleston, WV
National Provider Identifier
1891895421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 21037
- Practice address
- 3200 Maccorkle Ave SE
Suite B16
Charleston, WV 25304-1227 - Phone
- (304) 388-5848
- Fax
- (304) 388-9654
- NPI assigned
- Sep 24, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21037 | WV | Primary |
Addresses
Primary practice location
3200 Maccorkle Ave SE
Suite B16
Charleston, WV 25304-1227
Mailing address
3200 Maccorkle Seave B16
Charleston, WV 25304-1227
Phone (304) 388-5848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714 | KY | MD | Counseling Psychologist |
| 21037 | WV | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New River Health Association, Inc. | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Wood County, PLLC | Internal Medicine | Past | Accepting new patients |
| Cogent Healthcare of Washington, PC | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Past | Accepting new patients |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of Kentucky, PLLC | Internal Medicine | Past | Accepting new patients |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- Internal Medicine Physician
- Wheeling, WV
- NPI 1649575101
-
- Internal Medicine Physician
- Parkersburg, WV
- NPI 1568402949
-
- Rehabilitation Clinic/Center
- Oak Hill, WV
- NPI 1841619467
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
-
- Internal Medicine Physician
- Paducah, KY
- NPI 1346563236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1891895421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE SEAVE B16",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"address_2": "SUITE B16",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "CHRISTY",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "21037",
"primary": true
}
],
"identifiers": [],
"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 Dec 18, 2015; 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.