Gynecologic Associates of Parkersburg, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GYNECOLOGIC ASSOCIATES OF PARKERSBURG, INC.

Practice address

705 Garfield Ave
Suite 400
Parkersburg, WV 26101-5444

Phone

(304) 424-2035

Fax

(304) 424-2024

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Shockley, MD

Title

President

Phone

(304) 424-2035

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1922423292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GARFIELD AVE",
            "address_2": "SUITE 400",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015444",
            "telephone_number": "304-485-4700",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GARFIELD AVE",
            "address_2": "SUITE 400",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015444",
            "telephone_number": "304-424-2035",
            "fax_number": "304-424-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC ASSOCIATES OF PARKERSBURG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-424-2035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007580",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Gustke
• Amy Kay Guthrie, MA, LP
• Jodie Guthrie
• Sandra Guthrie
• Kalynn Nicole Gwynn
• Gynecologic Associates Parkersburg Inc
• Habeb Family Chiropractic Inc
• Michael David Habeb Sr., DC
• Robert Thomas Habeb Sr., DC
• Toria Hackathorn, NP

• Clinical Medical Laboratory in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.