NPI 1053092882 · live from the CMS NPI Registry
Abbey Ruth Ammons
Physician Assistant in Wadestown, WV. National Provider Identifier 1053092882, active.
NPI record
| NPI | 1053092882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1168 Crossroads Rd, Wadestown, WV 26590 |
| Practice phone | 304-662-1262 |
| Enumerated | July 25, 2023 |
| Last updated | July 7, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 3019 (WV) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.