| Mark Elias Tarakji, MD | |
|
77 Hospital Drive, Logan, WV 25601-3451 | |
| (304) 792-1847 | |
| (304) 691-8989 |
| Full Name | Mark Elias Tarakji |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 77 Hospital Drive, Logan, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952645111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 27526 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Montgomery General Hospital, Inc | Montgomery, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montgomery General Hospital, Inc | 6204735269 | 36 |
| Entity Name | Logan General Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124 |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
| Entity Name | Montgomery General Hospital, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20050110000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Elias Tarakji, MD 102 Fieldcrest Rd, Charleston, WV 25314-1441 Ph: () - | Mark Elias Tarakji, MD 77 Hospital Drive, Logan, WV 25601-3451 Ph: (304) 792-1847 |
Dr. James Charlton Paugh Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Hospital Drive, Logan, WV 25601 Phone: 304-792-1847 Fax: 304-792-1849 | |
Jodi M Cisco-goff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-792-1847 Fax: 304-792-1849 | |
Chanchai Tivitmahaisoon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1254 Fax: 304-831-1679 | |
Robert W Mccleary, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1818 Fax: 304-831-1815 | |
Kriengkrai Kitiphongspattana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1254 Fax: 304-831-1679 |