Basic Information
| Provider Information | |||||||||
| NPI: | 1629030218 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | L. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 147 | ||||||||
| Address2: | |||||||||
| City: | CLAY | ||||||||
| State: | WV | ||||||||
| PostalCode: | 250430147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3045872541 | ||||||||
| FaxNumber: | 3045872594 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 MATTHEW ST | ||||||||
| Address2: | |||||||||
| City: | MARIETTA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 457501635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403761994 | ||||||||
| FaxNumber: | 7403747701 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2006 | ||||||||
| LastUpdateDate: | 07/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2138 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 2138 | WV | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | 34.012805 | OH | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 34.012805 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.