Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Donald Ta, MD

Individual provider Pediatrics Physician · NPI 1376812008

Dr. Donald Ta, MD is a Pediatric Medicine in Clendenin, West Virginia. Graduated from West Virginia University School of Medicine in 2011, 15 years ago. Practices with Cabin Creek Health Center Inc, a 45-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
15
Trained at
West Virginia University School of Medicine
Licensed in
WV
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

107 Koontz Ave
Clendenin, WV 25045-9578
Phone: (304) 548-7272
Fax: (304) 548-7149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 27153 (WV)

Record details

NPI number1376812008
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 27, 2011
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address104 Alex Ln, Charleston, WV 25304-2952

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Cabin Creek Health Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount