| Dr Enrique Collantes Sta Ana Jr, MD | |
|
1100 Hospital Dr, Hurricane, WV 25526-8712 | |
| (304) 757-8683 | |
| (304) 757-8684 |
| Full Name | Dr Enrique Collantes Sta Ana Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1100 Hospital Dr, Hurricane, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295840593 | NPI | - | NPPES |
| 0056202000 | Medicaid | WV | |
| 000416134 | Other | WV | MSBCBS |
| 550641245 | Other | WV | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11628 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enrique Collantes Sta Ana Jr, MD 2585 3rd Ave, Huntington, WV 25703-1642 Ph: (304) 697-1396 | Dr Enrique Collantes Sta Ana Jr, MD 1100 Hospital Dr, Hurricane, WV 25526-8712 Ph: (304) 757-8683 |
Jeffrey Scott Trump, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3752 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-3131 Fax: 304-760-6173 | |
Nicholas Alexander Raubitschek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3952 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-6736 Fax: 304-757-0582 | |
Lea Grace Ramos Famularcano, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 Hospital Drive, Suite 306, Hurricane, WV 25526 Phone: 304-397-5744 Fax: 304-757-0964 | |
Randall Watson Peterson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3952 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-6736 Fax: 304-757-0582 | |
Anita M. Yeager-smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3755 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-562-1800 Fax: 304-562-0413 | |
Zachary B Adkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Hospital Dr, Hurricane, WV 25526 Phone: 304-757-1700 | |
John Wallace Neville Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3752 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-3131 Fax: 304-760-6173 |