| Dr James Holehouse, MD | |
|
51 Southland Dr, Suite 3200, Fairmont, WV 26554-2244 | |
| (304) 333-8385 | |
| (304) 333-8332 |
| Full Name | Dr James Holehouse |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 51 Southland Dr, Fairmont, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477599959 | NPI | - | NPPES |
| 0091377000 | Medicaid | WV | |
| 001710365 | Other | WV | BCBS FOR PMMG |
| WV15258C | Other | WV | HEALTHPLAN PMMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 15258 (West Virginia) | Primary |
| Entity Name | Preston Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Holehouse, MD 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 333-8385 | Dr James Holehouse, MD 51 Southland Dr, Suite 3200, Fairmont, WV 26554-2244 Ph: (304) 333-8385 |
Dr. Cheryl Benita Wingate, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1703 Locust Ave, Fairmont, WV 26554 Phone: 304-366-6100 | |
Patrick Corkrean Bonasso, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1703 Locust Ave, Fairmont, WV 26554 Phone: 304-366-6100 Fax: 304-366-2220 |