| Toshua Dainelle Short, | |
|
1 Highlander Dr, Upperglade, WV 26266-9400 | |
| (304) 226-3993 | |
| Not Available |
| Full Name | Toshua Dainelle Short |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1 Highlander Dr, Upperglade, 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 |
|---|---|---|---|
| 1952931842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 105090 (West Virginia) | Primary |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1558340414 PECOS PAC ID: 6002867850 Enrollment ID: O20050209000321 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861872541 PECOS PAC ID: 6002867850 Enrollment ID: O20160125000001 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174065916 PECOS PAC ID: 6002867850 Enrollment ID: O20170613000749 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427585157 PECOS PAC ID: 6002867850 Enrollment ID: O20171010003869 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811420250 PECOS PAC ID: 6002867850 Enrollment ID: O20180123000206 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700312618 PECOS PAC ID: 6002867850 Enrollment ID: O20180413002227 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508372228 PECOS PAC ID: 6002867850 Enrollment ID: O20190208001062 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669947222 PECOS PAC ID: 6002867850 Enrollment ID: O20200423002284 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394648 PECOS PAC ID: 6002867850 Enrollment ID: O20200429000282 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801493499 PECOS PAC ID: 6002867850 Enrollment ID: O20230629001639 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639418361 PECOS PAC ID: 6002867850 Enrollment ID: O20240416001782 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938513 PECOS PAC ID: 6002867850 Enrollment ID: O20240621000150 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558174086 PECOS PAC ID: 6002867850 Enrollment ID: O20250225000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Toshua Dainelle Short, 1 Highlander Dr, Upperglade, WV 26266-9400 Ph: (304) 226-3993 | Toshua Dainelle Short, 1 Highlander Dr, Upperglade, WV 26266-9400 Ph: (304) 226-3993 |