Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melanie Bagshaw Takubo, PA-C

Individual provider Physician Assistant · NPI 1124837257

Melanie Bagshaw Takubo, PA-C is a Physician Assistant in Charleston, West Virginia. Qualified in 2000, 26 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
26
Licensed in
WV
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3100 Maccorkle Ave SE Ste 902
Charleston, WV 25304-1234
Phone: (304) 388-6590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 842 (WV)

Record details

NPI number1124837257
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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