SHANIAH SHONTAE HOLDER M.D.
NPI 1124818067
Student in an Organized Health Care Education/Training Program in Charleston, WV

NPI Status: Active since May 12, 2025

Contact Information

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-5590
Fax: (304) 388-8238

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About SHANIAH HOLDER

This page provides the complete NPI Profile along with additional information for Shaniah Holder, a primary care provider established in Charleston, West Virginia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1124818067 assigned on May 2025. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1124818067
Provider Name
SHANIAH SHONTAE HOLDER M.D.
Gender
Female
Entity Type
Individual
Location Address
3200 MACCORKLE AVE SE CHARLESTON, WV 25304
Location Phone
(304) 388-5590
Location Fax
(304) 388-8238
Mailing Address
3200 MACCORKLE AVE SE CHARLESTON, WV 25304
Mailing Phone
(304) 388-5590
Mailing Fax
(304) 388-8238
Is Sole Proprietor?
No
Enumeration Date
05-12-2025
Last Update Date
05-12-2025
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A primary care provider (PCP) like Shaniah Holder sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124818067
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214416116012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 1 + 1 + 6 + 0 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1124818067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

KRISTOPHER MUSICK PA

Physician Assistant

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

DR. BRENDAN O'HARA MD

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

DR. GEORGE PULLIN MD

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

JENNIFER M WILES PAC

Physician Assistant

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

DR. CHRISTOPHER LAMBERT MD

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

NEW CENTURY EMERGENCY PHYSICIAN OF WEST VIRGINIA INC

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

DR. JOHN CHAPMAN MD

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

NEW CENTURY MEDICAL OBSERVATION SERVICES OF WEST VIRGINIA, INC

Emergency Medicine

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4170

DR. CLYDE EDMUND SPENCE JR. PHARMD, MBA

Pharmacist

3200 MACCORKLE AVE SE
DEPT OF PHARMACY & DRUG INFORMATION
CHARLESTON, WV
ZIP 25304

(304) 388-4716

ANN CHRISTINE TEAGUE PHARMD

Pharmacist

(Pharmacotherapy)

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-8106

CHRISTOPHER MIKEAL JAMES RPH

Pharmacist

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4210

KARA M. HOPPER R. PH.

Pharmacist

3200 MACCORKLE AVE SE
CHARLESTON AREA MEDICAL CENTER INPATIENT PHARMACY
CHARLESTON, WV
ZIP 25304

(304) 388-9270

DR. DAVID RANDALL ROLLINS PHARMD

Pharmacist

(Pharmacotherapy)

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-8841

MR. JOHN A DERENBURGER

Pharmacist

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4210

TERRY S PRETTYMAN RPH

Pharmacist

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-9270

MRS. MARY ELLEN PAULEY FNP

Nurse Practitioner

(Family)

3200 MACCORKLE AVE SE
CAMC VASCULAR CENTER MEMORIAL HOSPITAL
CHARLESTON, WV
ZIP 25304

(304) 388-8100

MR. GRACIANO E CENDANA JR. MD

Pathology

(Anatomic Pathology & Clinical Pathology)

3200 MACCORKLE AVE SE
CAMC MEMORIAL HOSPITAL
CHARLESTON, WV
ZIP 25304

(304) 388-5550

MS. BRENDA LOU KEEFER ANP

Nurse Practitioner

(Family)

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 925-3436

MRS. MYRTLE A SMITH CRNA

Registered Nurse

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4077

MRS. JESSICA BLOOM BUCKLEY

Registered Nurse

3200 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304

(304) 388-4077

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124818067, enumerated as an "individual" on May 12, 2025.

The provider is located at 3200 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 388-5590.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.