| Miraflor G Khorshad, MD | |
|
415 Main St, Summersville, WV 26651-1343 | |
| (304) 872-5500 | |
| (304) 872-5592 |
| Full Name | Miraflor G Khorshad |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 415 Main St, Summersville, 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 |
|---|---|---|---|
| 1295824365 | NPI | - | NPPES |
| 0049819000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13212 (West Virginia) | Primary |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1558340414 PECOS PAC ID: 6002867850 Enrollment ID: O20050209000321 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861872541 PECOS PAC ID: 6002867850 Enrollment ID: O20160125000001 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174065916 PECOS PAC ID: 6002867850 Enrollment ID: O20170613000749 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427585157 PECOS PAC ID: 6002867850 Enrollment ID: O20171010003869 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811420250 PECOS PAC ID: 6002867850 Enrollment ID: O20180123000206 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700312618 PECOS PAC ID: 6002867850 Enrollment ID: O20180413002227 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508372228 PECOS PAC ID: 6002867850 Enrollment ID: O20190208001062 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669947222 PECOS PAC ID: 6002867850 Enrollment ID: O20200423002284 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394648 PECOS PAC ID: 6002867850 Enrollment ID: O20200429000282 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801493499 PECOS PAC ID: 6002867850 Enrollment ID: O20230629001639 |
| Entity Name | Camden On Gauley Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639418361 PECOS PAC ID: 6002867850 Enrollment ID: O20240416001782 |
| Mailing Address | Practice Location Address |
|---|---|
| Miraflor G Khorshad, MD 415 Main St, Summersville, WV 26651-1343 Ph: (304) 872-1663 | Miraflor G Khorshad, MD 415 Main St, Summersville, WV 26651-1343 Ph: (304) 872-5500 |
Robert Charles Stanley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 702 Professional Park Dr, Suite 100, Summersville, WV 26651 Phone: 304-872-2991 Fax: 304-872-6268 | |
Bruce Kevin Greenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 | |
Dr. Keith Richard De Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 | |
Dr. Crischelle L Shank, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-842-5090 | |
Dr. Richard Stockton Trenbath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Merchants Walk, Shopping Center, Summersville, WV 26651 Phone: 304-872-9455 Fax: 304-872-9456 | |
Kathy Hamon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Main St, Summersville, WV 26651 Phone: 304-872-1663 Fax: 304-872-1804 | |
Mark Lynwood Wantz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Fairview Heights Rd, Summersville, WV 26651 Phone: 304-872-5090 Fax: 304-872-0636 |