DR. ALICE JODY ACKERMAN DO NPI 1730151010

NPI Information

  • NPI: 1730151010
  • Provider Name: DR. ALICE JODY ACKERMAN, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 HEALTHCARE DR
    MANSFIELD HILL
    PHILIPPI, WV
    ZIP 26416
  • Phone: (304) 457-1760

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NPI Details

DR. Alice Jody Ackerman, DO is an emergency medicine in Philippi, WV with 29 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Alice Jody Ackerman, DO NPI is 1730151010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1997

The provider's business location address is:

1 HEALTHCARE DR
MANSFIELD HILL
PHILIPPI, WV
ZIP 26416
Phone: (304) 457-1760
Fax: (304) 457-3781

The NPI 1730151010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 4/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine2159WEST VIRGINIAYes
2207Q00000XFamily Medicine05-009868-LPENNSYLVANIANo
3207Q00000XFamily Medicine2159WEST VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810004790MEDICAIDWEST VIRGINIA
2P00375987OTHERRAILROAD MEDICARE
3WV02159AOTHERTHE HEALTH PLAN
4001782911 (00008)MEDICAIDPENNSYLVANIA
5001817913OTHERWEST VIRGINIAMOUNTAIN STATE BCS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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