| Ryan H Fitzwater, DO | |
|
1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | |
| (304) 388-1965 | |
| (304) 388-1969 |
| Full Name | Ryan H Fitzwater |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 26 Years |
| Location | 1201 Washington St E, Charleston, 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 |
|---|---|---|---|
| 1770524977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 2253 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208800000X | Urology | 2253 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Boone Memorial Hospital | Madison, WV | Hospital |
| Plateau Medical Center | Oak hill, WV | Hospital |
| Jackson General Hospital | Ripley, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boone Memorial Hospital Inc | 3375433352 | 43 |
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| Entity Name | Charleston Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
| Entity Name | Boone Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639135221 PECOS PAC ID: 3375433352 Enrollment ID: O20061104000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan H Fitzwater, DO 415 Morris St, Suite 304, Charleston, WV 25301-1842 Ph: (304) 388-7782 | Ryan H Fitzwater, DO 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 Ph: (304) 388-1965 |
Ross Samuel Oliver Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2335 Chesterfield Avenue,, Suite 101, Charleston, WV 25304 Phone: 304-344-3785 Fax: 304-344-3765 | |
Rodney D. Dean, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 66 Quarry Ridge, Charleston, WV 25304 Phone: 304-330-4865 | |
James P. Tierney, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 11 Courtney Drive, Charleston, WV 25304 Phone: 304-925-8521 Fax: 304-925-8523 | |
Bashir R. Sankari, M.D. Urology Medicare: Medicare Enrolled Practice Location: 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 Phone: 304-388-7823 Fax: 304-388-7820 | |
Shozo Kurusu, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1313 Quarrier St, Charleston, WV 25301 Phone: 304-792-6275 | |
Samuel Gray Deem, DO Urology Medicare: May Accept Medicare Assignments Practice Location: 3100 Maccorkle Ave Se, Suite 602, Charleston, WV 25304 Phone: 304-388-5120 Fax: 304-388-5125 | |
Dr. Hugh Anthony Smith, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 470 Silver Maple Rdg Apt 10, Charleston, WV 25306 Phone: 304-388-5432 |