VIVIAN JEAN CARR PA-C
NPI 1093900714
Physician Assistant in Camden On Gauley, WV

Q: What is Vivian Carr's NPI number?

The NPI number for Vivian Carr is 1093900714. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Q: What is Vivian Carr's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Vivian Carr was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2007

10003 WEBSTER RD, CAMDEN ON GAULEY, WV 26208(304) 226-5725(304) 226-3274 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Vivian Jean Carr Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN JEAN CARR PA-C (NPI 1093900714) is an individual physician assistant in Camden On Gauley, West Virginia, licensed in West Virginia (01039) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1093900714

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameVIVIAN JEAN CARRCredential: PA-C

Location Address10003 WEBSTER RDCamden On Gauley, WV 26208-0069

Mailing AddressPo Box 69Camden On Gauley, WV 26208-0069 · (304) 226-5725 · Fax (304) 226-3274

Phone(304) 226-5725

Fax(304) 226-3274

Sole ProprietorNo

Enumeration DateSeptember 6, 2007

Last NPPES UpdateJanuary 21, 2009

✔ NPI 1093900714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WV · 01039✔ Licensed in WV · 406

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10003 WEBSTER RD, Camden On Gauley, WV 26208

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Other Identifiers 10

Medicaid0035222000WV

Medicare OSCAR/certification511827WV

Medicare PIN2030031WV

Medicare PIN5118271WV

Medicare OSCAR/certification511897WV

Medicare PIN2030032WV

Medicare PIND518361WV

Medicare PIN5118971WV

Other406WV · Wv Board Of Osteopathy

Other01039WV · Wv Board Of Medicine

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER DAWN GLASKO-TULLY MSN, APRN, NP-C, FNP

Nurse Practitioner (Family)