Active NPI
Chase Paul Irvin
- Internal Medicine Physician
- Parkersburg, WV
National Provider Identifier
1932769171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3959
- Practice address
- 800 Garfield Ave
Parkersburg, WV 26101-5376 - Phone
- (304) 422-0405
- NPI assigned
- Jun 19, 2019
- Last updated
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 3959 | WV | Primary |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5376
Mailing address
131 Blair CT
Waynesburg, PA 15370-8277
Phone (724) 627-6789
Other practice location 1
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 928-6274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3959 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
dba Camden Clark Medical Center
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
-
dba Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1932769171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BLAIR CT",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153708277",
"telephone_number": "724-627-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261015376",
"telephone_number": "304-422-0405"
}
],
"practiceLocations": [
{
"address_1": "350 N Wall St",
"address_purpose": "LOCATION",
"city": "Kankakee",
"state": "IL",
"postal_code": "609012901",
"country_code": "US",
"telephone_number": "815-928-6274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRVIN",
"first_name": "CHASE",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "3959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.