| Pinewood Medical Center | |
|
401 N Pike St Grafton WV 26354-1268 | |
| (304) 265-1350 | |
| (304) 265-0295 |
| Full Name | Pinewood Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 401 N Pike St, Grafton, West Virginia |
| Authorized Official Name and Position | John C Forester (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3046244655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinewood Medical Center 686 S Pike St Ste A Shinnston WV 26431-1043 Ph: (304) 624-4655 | Pinewood Medical Center 401 N Pike St Grafton WV 26354-1268 Ph: (304) 265-1350 |
| NPI Number | 1891863874 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/10/2012 |
| Medicare PECOS PAC ID | 6103814017 |
|---|---|
| Medicare Enrollment ID | O20040706001382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891863874 | NPI | - | NPPES |
| 3810022425 | Medicaid | WV |
| Provider Name | Richard E Vasicek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316037146 PECOS PAC ID: 3274436084 Enrollment ID: I20040130000251 |
| Provider Name | John F Brick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750482832 PECOS PAC ID: 6002704863 Enrollment ID: I20040304001183 |
| Provider Name | Michael Montgomery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366553166 PECOS PAC ID: 6507858990 Enrollment ID: I20040402001312 |
| Provider Name | Stephen F Fryer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598822207 PECOS PAC ID: 7911969084 Enrollment ID: I20041101000494 |
| Provider Name | Sean T. Keesee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003907098 PECOS PAC ID: 6800838889 Enrollment ID: I20050601000004 |
| Provider Name | Timothy Kevin Jackson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255444766 PECOS PAC ID: 7012945645 Enrollment ID: I20050803000741 |
| Provider Name | Erin Colleen Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073500773 PECOS PAC ID: 6800814013 Enrollment ID: I20051107000368 |
| Provider Name | Michael R Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750478269 PECOS PAC ID: 0941304273 Enrollment ID: I20070327000238 |
| Provider Name | Josalyn M Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093929424 PECOS PAC ID: 0648371005 Enrollment ID: I20070730000208 |
| Provider Name | Joann D Nutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568568210 PECOS PAC ID: 5496848574 Enrollment ID: I20070905000711 |
| Provider Name | Thomas B Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437351350 PECOS PAC ID: 2264522184 Enrollment ID: I20071217000029 |
| Provider Name | David B Watson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225004674 PECOS PAC ID: 0244213429 Enrollment ID: I20080724000480 |
| Provider Name | Christopher Courtney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578711552 PECOS PAC ID: 7012064256 Enrollment ID: I20090723000357 |
| Provider Name | Frank D Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407802218 PECOS PAC ID: 1557374725 Enrollment ID: I20090821000195 |
| Provider Name | Kristian M Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891972824 PECOS PAC ID: 0749336543 Enrollment ID: I20090921000138 |
| Provider Name | Kelly R Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760435838 PECOS PAC ID: 6305870791 Enrollment ID: I20091029000269 |
| Provider Name | Arthur L Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518063320 PECOS PAC ID: 2466361316 Enrollment ID: I20100303000996 |
| Provider Name | Paul D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821197484 PECOS PAC ID: 3779480637 Enrollment ID: I20100322000053 |
| Provider Name | James Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134225832 PECOS PAC ID: 5294861464 Enrollment ID: I20100326000361 |
| Provider Name | Judy K Lipscomp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992801617 PECOS PAC ID: 3577699354 Enrollment ID: I20100331000534 |
| Provider Name | Mark B Farnsworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962509281 PECOS PAC ID: 0648306415 Enrollment ID: I20100405000215 |
| Provider Name | Darla K Gant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861598518 PECOS PAC ID: 4688701188 Enrollment ID: I20100414000595 |
| Provider Name | John Angotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518063130 PECOS PAC ID: 6406753367 Enrollment ID: I20100415000376 |
| Provider Name | William G Bowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366540106 PECOS PAC ID: 8426188988 Enrollment ID: I20100609000488 |
| Provider Name | Jessica L Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508060914 PECOS PAC ID: 6002948858 Enrollment ID: I20100714001070 |
| Provider Name | Frances Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043262942 PECOS PAC ID: 6406989565 Enrollment ID: I20100727000512 |
| Provider Name | Ruthanne Marie Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174794069 PECOS PAC ID: 4486787124 Enrollment ID: I20100803000047 |
| Provider Name | Andrea A Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659537363 PECOS PAC ID: 3375601784 Enrollment ID: I20100831000047 |
| Provider Name | Desirae S Alasky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447436407 PECOS PAC ID: 0840345450 Enrollment ID: I20100923001271 |
| Provider Name | Haeley E Harman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205933538 PECOS PAC ID: 6103018296 Enrollment ID: I20101007000712 |
| Provider Name | Lance D Dubberke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871690115 PECOS PAC ID: 2264624352 Enrollment ID: I20101007000741 |
| Provider Name | James D Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912933995 PECOS PAC ID: 1951335348 Enrollment ID: I20110112001035 |
| Provider Name | John A Mcknight |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972694503 PECOS PAC ID: 1355439654 Enrollment ID: I20110125000502 |
| Provider Name | Teresa Yvonne Thacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891875274 PECOS PAC ID: 4789621103 Enrollment ID: I20110203000307 |
| Provider Name | Angela Marie Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225266208 PECOS PAC ID: 1557546710 Enrollment ID: I20110503000548 |
| Provider Name | Victoricio Singzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134396484 PECOS PAC ID: 5698946598 Enrollment ID: I20111011000661 |
| Provider Name | Vigneshwaran Ramanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003149634 PECOS PAC ID: 4082889589 Enrollment ID: I20111212000837 |
| Provider Name | Jo Ann Longenecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548359193 PECOS PAC ID: 1254508450 Enrollment ID: I20120111000230 |
| Provider Name | Chad R Marsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891065207 PECOS PAC ID: 3072770957 Enrollment ID: I20120203000545 |
| Provider Name | Folusade Adejumoke Samuel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881827269 PECOS PAC ID: 8426205113 Enrollment ID: I20120831000487 |
| Provider Name | Evan Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336376920 PECOS PAC ID: 1850540071 Enrollment ID: I20121003000840 |
| Provider Name | Sarah Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114279031 PECOS PAC ID: 6608026638 Enrollment ID: I20121026000633 |
| Provider Name | Lauren J Tomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013220060 PECOS PAC ID: 4183868813 Enrollment ID: I20130919000756 |
| Provider Name | Lea A Singzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396066692 PECOS PAC ID: 8022252451 Enrollment ID: I20130924000956 |
| Provider Name | Amelia Karen Adcock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497982623 PECOS PAC ID: 5698915270 Enrollment ID: I20131028001149 |
| Provider Name | Mesfin Tessema Assefa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689014771 PECOS PAC ID: 8022240688 Enrollment ID: I20140414000534 |
| Provider Name | Alexandria D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114351202 PECOS PAC ID: 2860615077 Enrollment ID: I20140515001167 |
| Provider Name | Matthew Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457550691 PECOS PAC ID: 5092953562 Enrollment ID: I20140712000061 |
| Provider Name | Justin M Spratt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396974044 PECOS PAC ID: 4183853047 Enrollment ID: I20140925001719 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20141111000846 |
| Provider Name | Olivia Marie Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922400688 PECOS PAC ID: 3678898798 Enrollment ID: I20150212002020 |
| Provider Name | Laco L Mace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437339694 PECOS PAC ID: 1951452838 Enrollment ID: I20150218000068 |
| Provider Name | Desiree R Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366831216 PECOS PAC ID: 7315263266 Enrollment ID: I20150311002503 |
| Provider Name | Lauren A Weekley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811393077 PECOS PAC ID: 1658698402 Enrollment ID: I20150316002393 |
| Provider Name | Zachary Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396006946 PECOS PAC ID: 7416188222 Enrollment ID: I20150831001774 |
| Provider Name | Marcus A Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104187756 PECOS PAC ID: 9234360082 Enrollment ID: I20151111000202 |
| Provider Name | Jessica P Sias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679942189 PECOS PAC ID: 8527362128 Enrollment ID: I20160202000774 |
| Provider Name | Amanda Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073999371 PECOS PAC ID: 2062718984 Enrollment ID: I20160302002000 |
| Provider Name | Ann Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194081968 PECOS PAC ID: 3274835921 Enrollment ID: I20160627000701 |
| Provider Name | David Lewis Wray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817524 PECOS PAC ID: 9537462148 Enrollment ID: I20160721000793 |
| Provider Name | Janet Cogar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811097546 PECOS PAC ID: 7416240809 Enrollment ID: I20160722000441 |
| Provider Name | Linxia Dong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689915894 PECOS PAC ID: 5193018513 Enrollment ID: I20160722001345 |
| Provider Name | Kayla Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578998902 PECOS PAC ID: 3678866027 Enrollment ID: I20160722002346 |
| Provider Name | Nancy L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982054698 PECOS PAC ID: 3375836331 Enrollment ID: I20160728000423 |
| Provider Name | Kimberly A Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265883748 PECOS PAC ID: 2961795778 Enrollment ID: I20160801000539 |
| Provider Name | Emily Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275084352 PECOS PAC ID: 4981984077 Enrollment ID: I20161207000634 |
| Provider Name | Judie Lynn Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487191102 PECOS PAC ID: 1759665250 Enrollment ID: I20170301000464 |
| Provider Name | Allison Dawn Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874537 PECOS PAC ID: 9436433588 Enrollment ID: I20170309000281 |
| Provider Name | Joseph Momen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114937653 PECOS PAC ID: 9234406315 Enrollment ID: I20170519001499 |
| Provider Name | Brian Christopher Policano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366459299 PECOS PAC ID: 5092082438 Enrollment ID: I20170606001895 |
| Provider Name | Justin Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740715408 PECOS PAC ID: 9638447931 Enrollment ID: I20170608002795 |
| Provider Name | Mary-ann Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518194067 PECOS PAC ID: 0941578157 Enrollment ID: I20170612002769 |
| Provider Name | Shanna N Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851825434 PECOS PAC ID: 2769750900 Enrollment ID: I20170613000599 |
| Provider Name | Hope Robb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750828695 PECOS PAC ID: 5698044154 Enrollment ID: I20170627002037 |
| Provider Name | Zachariah Marion Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790196301 PECOS PAC ID: 9830492487 Enrollment ID: I20170801000956 |
| Provider Name | Michele R Lilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457872376 PECOS PAC ID: 4981970647 Enrollment ID: I20171024002750 |
| Provider Name | Stephanie J Fluharty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861915019 PECOS PAC ID: 1355607672 Enrollment ID: I20171102000284 |
| Provider Name | Sunny N Onuigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215249180 PECOS PAC ID: 8527292465 Enrollment ID: I20171205003273 |
| Provider Name | Ernesto Zavaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982692554 PECOS PAC ID: 0749215382 Enrollment ID: I20180320001194 |
| Provider Name | Michelle L Hasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516770 PECOS PAC ID: 5496017428 Enrollment ID: I20180402002151 |
| Provider Name | Miranda Alyssa Mccroskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497261556 PECOS PAC ID: 2769745322 Enrollment ID: I20180412000637 |
| Provider Name | Frank Wiechers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548760325 PECOS PAC ID: 2668729385 Enrollment ID: I20180725003517 |
| Provider Name | Jennifer Sarah Turner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760878623 PECOS PAC ID: 4082917687 Enrollment ID: I20180811000123 |
| Provider Name | Kayla Michelle Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221695 PECOS PAC ID: 3072864305 Enrollment ID: I20180925002345 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184091498 PECOS PAC ID: 2567715600 Enrollment ID: I20181019000468 |
| Provider Name | Eric Joel Seachrist |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275951584 PECOS PAC ID: 1557663200 Enrollment ID: I20181030000066 |
| Provider Name | Houda E Mouradian- Al Tawil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407234388 PECOS PAC ID: 8527371244 Enrollment ID: I20181108002930 |
| Provider Name | Julia Murray Teubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396123170 PECOS PAC ID: 2062725781 Enrollment ID: I20181114000709 |
| Provider Name | Monica M Cerone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790150175 PECOS PAC ID: 0446553820 Enrollment ID: I20190207002937 |
| Provider Name | Katherine Maria Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730652900 PECOS PAC ID: 9133469315 Enrollment ID: I20190326001338 |
| Provider Name | London Lefevre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750848792 PECOS PAC ID: 8628311396 Enrollment ID: I20190521000508 |
| Provider Name | Parth Bhatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760936678 PECOS PAC ID: 4880980556 Enrollment ID: I20190801002641 |
| Provider Name | Johat Aponte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033504030 PECOS PAC ID: 6406103233 Enrollment ID: I20190806002802 |
| Provider Name | Carey Franklin Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801246897 PECOS PAC ID: 7517251986 Enrollment ID: I20190814002204 |
| Provider Name | Sage Michael Cutri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700438967 PECOS PAC ID: 8224367099 Enrollment ID: I20190904003191 |
| Provider Name | Christina Kitsos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013370998 PECOS PAC ID: 7416243803 Enrollment ID: I20190917002304 |
| Provider Name | Shenell Bernard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740733187 PECOS PAC ID: 1254661267 Enrollment ID: I20190917004202 |
| Provider Name | Melinda Frazee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427403807 PECOS PAC ID: 6901197946 Enrollment ID: I20191008003787 |
| Provider Name | Munib Aftab |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962835074 PECOS PAC ID: 6406144971 Enrollment ID: I20191016000005 |
| Provider Name | Reagan Loftin Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730564402 PECOS PAC ID: 9537404850 Enrollment ID: I20191023000220 |
| Provider Name | David Davis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336661206 PECOS PAC ID: 1456622455 Enrollment ID: I20191210000336 |
| Provider Name | John Blake Epling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811332166 PECOS PAC ID: 0840592432 Enrollment ID: I20200116002108 |
| Provider Name | Hollie Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153912 PECOS PAC ID: 2466880695 Enrollment ID: I20200320002562 |
| Provider Name | Eleni Georgia Kitsos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932561263 PECOS PAC ID: 3779913595 Enrollment ID: I20200420000328 |
| Provider Name | Ankush Asija |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952742298 PECOS PAC ID: 2163744319 Enrollment ID: I20200714000683 |
| Provider Name | Ayesha Jameel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013399856 PECOS PAC ID: 2567762511 Enrollment ID: I20200729000765 |
| Provider Name | Lauren Renee Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104358605 PECOS PAC ID: 4082039755 Enrollment ID: I20200729002098 |
| Provider Name | Ebrahim Sabbagh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811332737 PECOS PAC ID: 1456582592 Enrollment ID: I20200810001332 |
| Provider Name | Edidiong Inyang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073042230 PECOS PAC ID: 8224454863 Enrollment ID: I20200813001813 |
| Provider Name | Mandy N Hatfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276496 PECOS PAC ID: 9638471386 Enrollment ID: I20200917001022 |
| Provider Name | Salma Khatoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063867075 PECOS PAC ID: 6002150208 Enrollment ID: I20201130000549 |
| Provider Name | Ammad Asad Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841647526 PECOS PAC ID: 1759798226 Enrollment ID: I20210330000035 |
| Provider Name | Clinton Cleveland Schiavone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821585746 PECOS PAC ID: 2264781681 Enrollment ID: I20210730001386 |
| Provider Name | Rosetta D Hixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137496 PECOS PAC ID: 2860516036 Enrollment ID: I20210805002183 |
| Provider Name | Tejas V Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932635091 PECOS PAC ID: 9133499791 Enrollment ID: I20210830002573 |
| Provider Name | David De Wit |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871158766 PECOS PAC ID: 0446656888 Enrollment ID: I20210909001914 |
| Provider Name | Michael Ebbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871027326 PECOS PAC ID: 8921378720 Enrollment ID: I20220627000467 |
| Provider Name | Jenna Marie Forzano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801451794 PECOS PAC ID: 5799165551 Enrollment ID: I20220711001944 |
| Provider Name | Lauren Adell Howdershelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356800387 PECOS PAC ID: 2769864933 Enrollment ID: I20220804001067 |
| Provider Name | Sarah Honsaker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679034151 PECOS PAC ID: 0143553438 Enrollment ID: I20220809004133 |
| Provider Name | Lauren Mayle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205330909 PECOS PAC ID: 2769726041 Enrollment ID: I20220811000109 |
| Provider Name | Miles Graves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508359381 PECOS PAC ID: 9739436775 Enrollment ID: I20220909001898 |
| Provider Name | Edward Rojas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336595248 PECOS PAC ID: 0345533253 Enrollment ID: I20221004003678 |
| Provider Name | Saivaralaxmi Monaganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952961435 PECOS PAC ID: 8022345842 Enrollment ID: I20221012003861 |
| Provider Name | Michael K Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932729282 PECOS PAC ID: 1153790498 Enrollment ID: I20221208002498 |
| Provider Name | Rokshana Thanadar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538321286 PECOS PAC ID: 7618141557 Enrollment ID: I20221219001037 |
| Provider Name | Vignesh Kannan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598205262 PECOS PAC ID: 9830509116 Enrollment ID: I20230201001330 |
| Provider Name | Doris Okotie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811246671 PECOS PAC ID: 4385885631 Enrollment ID: I20230317001545 |
| Provider Name | Ashlee T Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801593942 PECOS PAC ID: 8426423096 Enrollment ID: I20230412003113 |
| Provider Name | Muhammad Nawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003433178 PECOS PAC ID: 4880014323 Enrollment ID: I20230608000352 |
| Provider Name | Rowan Karaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225341852 PECOS PAC ID: 1052553740 Enrollment ID: I20230615000799 |
| Provider Name | Ana Emiliano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255548616 PECOS PAC ID: 1658497631 Enrollment ID: I20230728001865 |
| Provider Name | Ndubuisi D Ahuruonye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467959494 PECOS PAC ID: 7911258264 Enrollment ID: I20230901000089 |
| Provider Name | Charles Jervey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801865365 PECOS PAC ID: 5799751921 Enrollment ID: I20231006002000 |
| Provider Name | Allison Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700414257 PECOS PAC ID: 6406257393 Enrollment ID: I20231013002919 |
| Provider Name | Christopher Irwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033506191 PECOS PAC ID: 7911287859 Enrollment ID: I20231027002833 |
| Provider Name | Joshua Zegeer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679194849 PECOS PAC ID: 5799109898 Enrollment ID: I20231108004050 |
| Provider Name | Sarah Schall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821459884 PECOS PAC ID: 4587925300 Enrollment ID: I20240220000027 |
| Provider Name | Christopher Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619417219 PECOS PAC ID: 8729423900 Enrollment ID: I20240227003407 |
Tygart Valley Professional Fees Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-7406 Fax: 304-265-6419 | |
Tygart Valley Total Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Market St, Grafton, WV 26354 Phone: 304-265-0400 Fax: 304-265-6417 | |
Dental Center Of Taylor County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 N Pike St, Grafton, WV 26354 Phone: 304-265-4600 Fax: 304-265-6008 | |
Medical Center Of Taylor Co. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Pike St, Grafton, WV 26354 Phone: 304-265-4909 Fax: 304-265-4916 | |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 North Pike Street, Grafton, WV 26354 Phone: 304-265-0312 Fax: 304-265-0314 | |
R Legacy Inv Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Knottsville Rd, Grafton, WV 26354 Phone: 304-265-2874 | |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Lincoln St, Grafton, WV 26354 Phone: 304-265-1851 Fax: 304-265-0028 |