| Dr Jordan A Nash, MD | |
|
111 Great Teays Blvd, Scott Depot, WV 25560-9548 | |
| (304) 757-8459 | |
| (304) 757-6904 |
| Full Name | Dr Jordan A Nash |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 111 Great Teays Blvd, Scott Depot, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437384161 | NPI | - | NPPES |
| 0075746 | Medicaid | OH | |
| 3810023601 | Medicaid | WV | |
| 7100239930 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24824 (West Virginia) | Primary |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000570 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484 |
| Entity Name | Valley Health Systems, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700446929 PECOS PAC ID: 9931017969 Enrollment ID: O20191202000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan A Nash, MD Po Box 1680, Huntington, WV 25717 Ph: (304) 697-1396 | Dr Jordan A Nash, MD 111 Great Teays Blvd, Scott Depot, WV 25560-9548 Ph: (304) 757-8459 |
Abdullah Shabarek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 | |
Dr. Susanna A. Kapourales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-8870 Fax: 304-691-6751 | |
Ms. Ann M. Lambernedis, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-8803 | |
Mary J Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-201-5019 | |
Denise Nicole Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-6904 | |
Jessica Yvonne Roth, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 Fax: 304-691-6751 | |
Dr. Beth Bloom Emrick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Dr., Scott Depot, WV 25560 Phone: 304-691-8901 Fax: 304-691-1679 |