Versacare MD, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VERSACARE MD, LLC

Practice address

1260A Greenbrier St
Charleston, WV 25311-1002

Phone

(304) 915-2500

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Amanda E McCarty, MS, MBA, MHA

Title

Owner/Administrator

Phone

(304) 615-9925

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1962178269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TROTTERS LN",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253126770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260A GREENBRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111002",
            "telephone_number": "304-915-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSACARE MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "304-615-9925",
        "authorized_official_credential": "MS, MBA, MHA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Veltri, PRSS
• Stacy Vensel
• Abigail E Ventura
• Juliana Verdone-Grovenor
• Happy Verma, M.D.
• Elizabeth Ververeli, OT
• Andrew Derron Vess, MD
• Tyler Vessecchia
• Ashley Marie Vest I
• Olivia Grace Vest

• Family Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.