Eric Crayton Jones, MD | |
4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 | |
(304) 766-4400 | |
(304) 766-4417 |
Full Name | Eric Crayton Jones |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4607 Maccorkle Ave, South Charleston, 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 |
---|---|---|---|
1720173784 | NPI | - | NPPES |
3810002420 | Medicaid | WV | |
4005199000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21915 (West Virginia) | Primary |
Entity Name | Valley Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366212326 PECOS PAC ID: 9931017969 Enrollment ID: O20240528000174 |
Mailing Address | Practice Location Address |
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Eric Crayton Jones, MD 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Ph: (304) 766-4400 | Eric Crayton Jones, MD 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Ph: (304) 766-4400 |
Dr. Kara Michelle White, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Melanie Anne Winnings, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Dr. Clark Edwin Childers Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw, Mp Ste 204, South Charleston, WV 25309 Phone: 304-767-7930 Fax: 304-767-7935 | |
Sharmila Matcheswalla Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave, Ste 400, South Charleston, WV 25309 Phone: 304-766-4400 Fax: 304-766-4417 | |
Gilbert Goliath, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4607 Maccorkle Ave Sw Ste 400, South Charleston, WV 25309 Phone: 304-766-3988 Fax: 304-766-3984 | |
Surya N Gupta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4803 Kentucky Street, Camc Pediatric Neurology, South Charleston, WV 25309 Phone: 304-766-7695 Fax: 603-663-3229 |