| Ohio Valley Physicians Inc | |
|
601 20th St Huntington WV 25703-1512 | |
| (304) 781-0076 | |
| (304) 781-0076 |
| Full Name | Ohio Valley Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 601 20th St, Huntington, West Virginia |
| Authorized Official Name and Position | Ashley Endlich (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044291088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Physicians Inc Po Box 390 Huntington WV 25708-0390 Ph: (304) 429-1088 | Ohio Valley Physicians Inc 601 20th St Huntington WV 25703-1512 Ph: (304) 781-0076 |
| NPI Number | 1962433177 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/15/2025 |
| Certification Date | 07/15/2025 |
| Medicare PECOS PAC ID | 8729032966 |
|---|---|
| Medicare Enrollment ID | O20050422000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962433177 | NPI | - | NPPES |
| Provider Name | Daniel J Hoffman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669464376 PECOS PAC ID: 5799689857 Enrollment ID: I20031121000069 |
| Provider Name | John Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518949106 PECOS PAC ID: 0143124727 Enrollment ID: I20031125000308 |
| Provider Name | Hussein I Kashk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053317073 PECOS PAC ID: 0244132538 Enrollment ID: I20040126000907 |
| Provider Name | Geoffrey Marc Polen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268107 PECOS PAC ID: 0042113342 Enrollment ID: I20040202000417 |
| Provider Name | Mohamud Si Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700869377 PECOS PAC ID: 4981697935 Enrollment ID: I20040406000208 |
| Provider Name | Jennifer L Ney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891854808 PECOS PAC ID: 6709876600 Enrollment ID: I20040514000115 |
| Provider Name | Pantelhs Pete Varlas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134156250 PECOS PAC ID: 8123000718 Enrollment ID: I20040607000649 |
| Provider Name | Christopher Mohler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619969508 PECOS PAC ID: 8426033754 Enrollment ID: I20040622000019 |
| Provider Name | Brad Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700877933 PECOS PAC ID: 2668448101 Enrollment ID: I20040907000989 |
| Provider Name | Robert A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538156518 PECOS PAC ID: 2365424405 Enrollment ID: I20041027000187 |
| Provider Name | Gwendolyn J Millesen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619916657 PECOS PAC ID: 7911951314 Enrollment ID: I20050322000005 |
| Provider Name | Stephen C Shy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598737991 PECOS PAC ID: 4789631987 Enrollment ID: I20050331000056 |
| Provider Name | Tammy Agnes Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639259880 PECOS PAC ID: 0840237780 Enrollment ID: I20050413000059 |
| Provider Name | Robert A Holm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689638041 PECOS PAC ID: 8527007392 Enrollment ID: I20050502000093 |
| Provider Name | Joseph Anigbogu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972583508 PECOS PAC ID: 9133015894 Enrollment ID: I20050510000546 |
| Provider Name | David C Weil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228772 PECOS PAC ID: 0941232367 Enrollment ID: I20050907000478 |
| Provider Name | Eric L Newsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598772881 PECOS PAC ID: 4486676830 Enrollment ID: I20051228000596 |
| Provider Name | Heather L Carone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558324830 PECOS PAC ID: 4284656455 Enrollment ID: I20060103000061 |
| Provider Name | Christian Halloran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528171014 PECOS PAC ID: 7214932763 Enrollment ID: I20060915000523 |
| Provider Name | Reagan S Norgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487877999 PECOS PAC ID: 8325149503 Enrollment ID: I20070719000038 |
| Provider Name | Gregory Mickunas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225076458 PECOS PAC ID: 7517058886 Enrollment ID: I20070801000512 |
| Provider Name | Charles Oppong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902080922 PECOS PAC ID: 4486739448 Enrollment ID: I20080314000342 |
| Provider Name | Mary Lou Garey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447436183 PECOS PAC ID: 0143388504 Enrollment ID: I20081029000428 |
| Provider Name | Victor Kopyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390203 PECOS PAC ID: 7113081357 Enrollment ID: I20090203000087 |
| Provider Name | Siamak Ghanbari Rostamabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588801757 PECOS PAC ID: 7214073337 Enrollment ID: I20091002000602 |
| Provider Name | Carrie A Cregar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699910372 PECOS PAC ID: 3971633504 Enrollment ID: I20100609000102 |
| Provider Name | Fraol Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Karthik Mulkanoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720390859 PECOS PAC ID: 1456533462 Enrollment ID: I20110314000053 |
| Provider Name | Jaime D Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386978427 PECOS PAC ID: 2062694730 Enrollment ID: I20110317000055 |
| Provider Name | Nathan Joel Lowien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003065178 PECOS PAC ID: 6305020520 Enrollment ID: I20110413000603 |
| Provider Name | Jessica E Stolz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003093790 PECOS PAC ID: 0244405553 Enrollment ID: I20111215000459 |
| Provider Name | Karen E Hannum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811276058 PECOS PAC ID: 0143482471 Enrollment ID: I20120503000333 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Margaret Poznalska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275834665 PECOS PAC ID: 8527218189 Enrollment ID: I20121017000692 |
| Provider Name | Gina Marie Vitale-amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528302742 PECOS PAC ID: 8123273349 Enrollment ID: I20130219000295 |
| Provider Name | Zena K Jalloh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083841357 PECOS PAC ID: 8123265535 Enrollment ID: I20130502000175 |
| Provider Name | Stephanie L Strausbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871934372 PECOS PAC ID: 5991948101 Enrollment ID: I20130906000349 |
| Provider Name | Benjamin J Tishman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942508577 PECOS PAC ID: 3375778582 Enrollment ID: I20131024000348 |
| Provider Name | Christina Lachae Markovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841613619 PECOS PAC ID: 3375773948 Enrollment ID: I20140226001723 |
| Provider Name | Jerry Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669437638 PECOS PAC ID: 4587558432 Enrollment ID: I20140324000943 |
| Provider Name | Christy L Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801859160 PECOS PAC ID: 2062479504 Enrollment ID: I20140327001947 |
| Provider Name | Erin K Binner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043630544 PECOS PAC ID: 5698998375 Enrollment ID: I20140527002007 |
| Provider Name | Katherine Holter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093139958 PECOS PAC ID: 9537384961 Enrollment ID: I20140627000552 |
| Provider Name | Jamal Saleh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275859555 PECOS PAC ID: 9234354200 Enrollment ID: I20140707001714 |
| Provider Name | Jesse Michael Ewald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104196591 PECOS PAC ID: 2062638877 Enrollment ID: I20140730001757 |
| Provider Name | Hayden Hung-tan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319272 PECOS PAC ID: 2961628698 Enrollment ID: I20140801000308 |
| Provider Name | Thomas R Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386051779 PECOS PAC ID: 9133346059 Enrollment ID: I20140815001630 |
| Provider Name | Yan Zhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518389287 PECOS PAC ID: 9436378783 Enrollment ID: I20140918000454 |
| Provider Name | Kevin Volt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124319629 PECOS PAC ID: 8921227935 Enrollment ID: I20140923002267 |
| Provider Name | David J Heath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306834809 PECOS PAC ID: 5294956967 Enrollment ID: I20141021003114 |
| Provider Name | Karen Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659669646 PECOS PAC ID: 5294967170 Enrollment ID: I20141029000478 |
| Provider Name | David Grant Shy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326146978 PECOS PAC ID: 1254313091 Enrollment ID: I20141122000152 |
| Provider Name | Jonathan A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063770014 PECOS PAC ID: 7012156227 Enrollment ID: I20141216002424 |
| Provider Name | Ali Imani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285921858 PECOS PAC ID: 8325290760 Enrollment ID: I20150209002158 |
| Provider Name | Jordan R Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275923203 PECOS PAC ID: 7012234727 Enrollment ID: I20150317002215 |
| Provider Name | Brian David Kern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447414131 PECOS PAC ID: 1951585322 Enrollment ID: I20150330001456 |
| Provider Name | Melinda C Dixson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356574214 PECOS PAC ID: 4880736479 Enrollment ID: I20150630000773 |
| Provider Name | Stephen H Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474527 PECOS PAC ID: 8628383130 Enrollment ID: I20150813009513 |
| Provider Name | Heather Dawn Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316322217 PECOS PAC ID: 7315247475 Enrollment ID: I20151123001304 |
| Provider Name | Mohammad Kamal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174792923 PECOS PAC ID: 4486726593 Enrollment ID: I20151222001111 |
| Provider Name | Gretchen Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467840975 PECOS PAC ID: 8325350267 Enrollment ID: I20160129001381 |
| Provider Name | Angela Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882492 PECOS PAC ID: 5496049819 Enrollment ID: I20160808002867 |
| Provider Name | Junyang Gong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801021183 PECOS PAC ID: 6406135763 Enrollment ID: I20161109002704 |
| Provider Name | James P Flanagan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316963978 PECOS PAC ID: 4385631886 Enrollment ID: I20161206002111 |
| Provider Name | Krista J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124784 PECOS PAC ID: 9931489697 Enrollment ID: I20161215000492 |
| Provider Name | David Paul Peasak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316987001 PECOS PAC ID: 9335137074 Enrollment ID: I20170105000032 |
| Provider Name | Angela M Palitto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902160278 PECOS PAC ID: 2860615945 Enrollment ID: I20170117001184 |
| Provider Name | Matthew Holland Voll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245646603 PECOS PAC ID: 8820380439 Enrollment ID: I20170127001652 |
| Provider Name | Wondwossen Y Dererie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760793897 PECOS PAC ID: 4981831328 Enrollment ID: I20170206002690 |
| Provider Name | Tina Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326583196 PECOS PAC ID: 8820371743 Enrollment ID: I20170220000198 |
| Provider Name | Kelly Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699219469 PECOS PAC ID: 2264716380 Enrollment ID: I20170308001678 |
| Provider Name | Amber Gokkaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487104071 PECOS PAC ID: 4284919283 Enrollment ID: I20170313002412 |
| Provider Name | Danielle N Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447614516 PECOS PAC ID: 3678854874 Enrollment ID: I20170322001564 |
| Provider Name | Varun Ashok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271297 PECOS PAC ID: 6901183821 Enrollment ID: I20170502002527 |
| Provider Name | Jody Lynn Harr-holter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285172130 PECOS PAC ID: 4284644766 Enrollment ID: I20170523000238 |
| Provider Name | Nathaniel Stultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366971103 PECOS PAC ID: 3173893476 Enrollment ID: I20170719002451 |
| Provider Name | Jason Shi Cheng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922424506 PECOS PAC ID: 4587934708 Enrollment ID: I20170720003055 |
| Provider Name | Thomas Rittinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639242381 PECOS PAC ID: 2466351127 Enrollment ID: I20170814002959 |
| Provider Name | Jason John Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912345984 PECOS PAC ID: 7911136007 Enrollment ID: I20170815003964 |
| Provider Name | Tracy Tyrone Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982866935 PECOS PAC ID: 0244415388 Enrollment ID: I20171009002989 |
| Provider Name | Lesley A Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591373 PECOS PAC ID: 1557620622 Enrollment ID: I20180117002328 |
| Provider Name | Shawdare Miriam Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902310618 PECOS PAC ID: 2567721665 Enrollment ID: I20180118000647 |
| Provider Name | Joseph Baah Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Samuel E Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629565395 PECOS PAC ID: 2567717796 Enrollment ID: I20180612001643 |
| Provider Name | Emiley Niccole Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205321551 PECOS PAC ID: 8921358508 Enrollment ID: I20180830003639 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548640451 PECOS PAC ID: 8527373026 Enrollment ID: I20180912002900 |
| Provider Name | Ubong C Ubokudom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821479619 PECOS PAC ID: 0143516963 Enrollment ID: I20181101002598 |
| Provider Name | Hussein W Egal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720046022 PECOS PAC ID: 5496768475 Enrollment ID: I20181126000923 |
| Provider Name | Sherif Mohamed Shamaa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669438719 PECOS PAC ID: 2567370547 Enrollment ID: I20190403001094 |
| Provider Name | Afolabi O.d. Akinpelu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225038649 PECOS PAC ID: 6406809094 Enrollment ID: I20190514003042 |
| Provider Name | Nourhan Elmonoufy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700232360 PECOS PAC ID: 4587958186 Enrollment ID: I20190520002026 |
| Provider Name | Angela F Duhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245783 PECOS PAC ID: 6901947829 Enrollment ID: I20190719001774 |
| Provider Name | Marcello Delonardo Migliore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457742314 PECOS PAC ID: 8426368127 Enrollment ID: I20190830002959 |
| Provider Name | Ray Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184277865 PECOS PAC ID: 2668701251 Enrollment ID: I20190906002085 |
| Provider Name | Jatinder Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649664228 PECOS PAC ID: 8527321496 Enrollment ID: I20191010003171 |
| Provider Name | Adrien J Brutus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740634963 PECOS PAC ID: 5496048597 Enrollment ID: I20191025002056 |
| Provider Name | Jeremy John Edgmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306951157 PECOS PAC ID: 9436044823 Enrollment ID: I20191112001569 |
| Provider Name | Abdirahim Mohamed Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255713871 PECOS PAC ID: 3375857196 Enrollment ID: I20200110002478 |
| Provider Name | Farah A Jama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881056034 PECOS PAC ID: 3870883572 Enrollment ID: I20200117002300 |
| Provider Name | Walter Turkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396749727 PECOS PAC ID: 4183722150 Enrollment ID: I20200219003005 |
| Provider Name | Syed Tariq Ahsan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831571009 PECOS PAC ID: 0547511222 Enrollment ID: I20200316002283 |
| Provider Name | Agnes A Enrico-simon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003910670 PECOS PAC ID: 3870526007 Enrollment ID: I20200320002552 |
| Provider Name | Morgan Steiskal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558097 PECOS PAC ID: 3577993997 Enrollment ID: I20200424002261 |
| Provider Name | Arindam Ghosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184069791 PECOS PAC ID: 3173837119 Enrollment ID: I20200506002597 |
| Provider Name | Ciprian Crismaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266190 PECOS PAC ID: 2567412687 Enrollment ID: I20200521001074 |
| Provider Name | Daniel Witkiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942720040 PECOS PAC ID: 5890116438 Enrollment ID: I20200605001831 |
| Provider Name | Howard L Wetzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609412709 PECOS PAC ID: 3274955315 Enrollment ID: I20200618003147 |
| Provider Name | Zain Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134650534 PECOS PAC ID: 3779905377 Enrollment ID: I20200629001728 |
| Provider Name | Ahmad A Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144602285 PECOS PAC ID: 8527377795 Enrollment ID: I20200702002545 |
| Provider Name | Ryan Guillory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083153423 PECOS PAC ID: 5092084087 Enrollment ID: I20200715000926 |
| Provider Name | Razik Z Oumeddour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134577612 PECOS PAC ID: 1951657873 Enrollment ID: I20200817001748 |
| Provider Name | Thomas Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700410081 PECOS PAC ID: 6204256993 Enrollment ID: I20201019002134 |
| Provider Name | Patricia Nicole Stillwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700438918 PECOS PAC ID: 2769896158 Enrollment ID: I20210126002102 |
| Provider Name | James A Berry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467571711 PECOS PAC ID: 8123191400 Enrollment ID: I20210524001715 |
| Provider Name | Apoorva K Chandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205330982 PECOS PAC ID: 4385976729 Enrollment ID: I20210630004105 |
| Provider Name | Jacob William Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225520521 PECOS PAC ID: 6901151687 Enrollment ID: I20210812000512 |
| Provider Name | Nida Zia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497259204 PECOS PAC ID: 9739436767 Enrollment ID: I20211008002657 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821445016 PECOS PAC ID: 1658705199 Enrollment ID: I20211101002261 |
| Provider Name | Nathan Clagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379663 PECOS PAC ID: 1153710926 Enrollment ID: I20211116003158 |
| Provider Name | Kitrina N Van Dine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770249948 PECOS PAC ID: 0840689345 Enrollment ID: I20211122001257 |
| Provider Name | Uloaku Irobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326547290 PECOS PAC ID: 5496019416 Enrollment ID: I20211201002257 |
| Provider Name | Royale A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053088690 PECOS PAC ID: 5597156554 Enrollment ID: I20220111002971 |
| Provider Name | Chad Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629628565 PECOS PAC ID: 2567895667 Enrollment ID: I20220114002277 |
| Provider Name | Vivek Ramnikbhai Mendapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457849895 PECOS PAC ID: 7214330315 Enrollment ID: I20220201001455 |
| Provider Name | Jeffrey A Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356889570 PECOS PAC ID: 4981980554 Enrollment ID: I20220207000818 |
| Provider Name | Omar Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790273761 PECOS PAC ID: 9133476476 Enrollment ID: I20220304002171 |
| Provider Name | Kiley Cosgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073265518 PECOS PAC ID: 5294120689 Enrollment ID: I20220322001400 |
| Provider Name | Brittneyann Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295486884 PECOS PAC ID: 0648667584 Enrollment ID: I20220425001297 |
| Provider Name | Meghan Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942943873 PECOS PAC ID: 8527447705 Enrollment ID: I20220617001255 |
| Provider Name | Brian Hornsby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780995290 PECOS PAC ID: 3577701325 Enrollment ID: I20220621000360 |
| Provider Name | Matthew T Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538622584 PECOS PAC ID: 5890174403 Enrollment ID: I20220628000248 |
| Provider Name | Pon Ti Cruise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770143141 PECOS PAC ID: 3678952215 Enrollment ID: I20220628001545 |
| Provider Name | Joseph R Avila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437475233 PECOS PAC ID: 9436392024 Enrollment ID: I20220711003738 |
| Provider Name | Tasha A Kashubeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528538832 PECOS PAC ID: 0749661684 Enrollment ID: I20220722002113 |
| Provider Name | Elena Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366563249 PECOS PAC ID: 5698824522 Enrollment ID: I20220802000765 |
| Provider Name | Derek Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144953068 PECOS PAC ID: 1456735455 Enrollment ID: I20220824003091 |
| Provider Name | Abhimanyu Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952863821 PECOS PAC ID: 3678801370 Enrollment ID: I20220907003835 |
| Provider Name | Morgan T. Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679207922 PECOS PAC ID: 0042695520 Enrollment ID: I20220920001280 |
| Provider Name | Terence Anguh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083033310 PECOS PAC ID: 5395043632 Enrollment ID: I20220928003519 |
| Provider Name | Amr Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093121386 PECOS PAC ID: 5698901866 Enrollment ID: I20221118001397 |
| Provider Name | Ankit Rohatgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306001177 PECOS PAC ID: 9638341571 Enrollment ID: I20221205002280 |
| Provider Name | Ryan Eversole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336601889 PECOS PAC ID: 3678800042 Enrollment ID: I20221216001952 |
| Provider Name | James Bailes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891759031 PECOS PAC ID: 4486792512 Enrollment ID: I20230127002195 |
| Provider Name | Patrick Ballard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982854980 PECOS PAC ID: 8729251103 Enrollment ID: I20230131002678 |
| Provider Name | Michael P Iannetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396949889 PECOS PAC ID: 0547455784 Enrollment ID: I20230206002025 |
| Provider Name | Brandon Lasseter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861104218 PECOS PAC ID: 8527430032 Enrollment ID: I20230209002587 |
| Provider Name | Christopher Easton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629785175 PECOS PAC ID: 0042680480 Enrollment ID: I20230221002849 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811540800 PECOS PAC ID: 5991126401 Enrollment ID: I20230719001082 |
| Provider Name | Deanna Pickett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972127710 PECOS PAC ID: 9931521622 Enrollment ID: I20230829002795 |
| Provider Name | Kelci Wanat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518742378 PECOS PAC ID: 9638533342 Enrollment ID: I20230914000471 |
| Provider Name | Zachary Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316370992 PECOS PAC ID: 8022243930 Enrollment ID: I20230925002855 |
| Provider Name | Stefan Papandreou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154946549 PECOS PAC ID: 4385098987 Enrollment ID: I20231002000696 |
| Provider Name | Anna Ruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033993282 PECOS PAC ID: 0941655369 Enrollment ID: I20231004003411 |
| Provider Name | Kathryn J Clagg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740060078 PECOS PAC ID: 0840646873 Enrollment ID: I20231027001878 |
| Provider Name | Omer Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700373313 PECOS PAC ID: 0840649158 Enrollment ID: I20231212003159 |
| Provider Name | Sambit Pattanaik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912468851 PECOS PAC ID: 2062868102 Enrollment ID: I20240214002043 |
| Provider Name | Jenna M Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548823628 PECOS PAC ID: 3476884370 Enrollment ID: I20240313002772 |
| Provider Name | Matthew David Oram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891322285 PECOS PAC ID: 6507297017 Enrollment ID: I20240319002462 |
| Provider Name | Aakash Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114508785 PECOS PAC ID: 1850793548 Enrollment ID: I20240820001258 |
| Provider Name | Meron Berhe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194302075 PECOS PAC ID: 5193126407 Enrollment ID: I20240821004875 |
| Provider Name | Brycen Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336977628 PECOS PAC ID: 8325574031 Enrollment ID: I20241204004291 |
| Provider Name | Amir Ali Emami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295049260 PECOS PAC ID: 2264602515 Enrollment ID: I20241212004110 |
| Provider Name | Anas Fares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467080713 PECOS PAC ID: 4789112582 Enrollment ID: I20250107003186 |
| Provider Name | Lauren Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790599637 PECOS PAC ID: 0749704336 Enrollment ID: I20250404000608 |
Graceway Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 744 4th Ave Ste 2, Huntington, WV 25701 Phone: 304-691-0873 Fax: 304-955-9057 | |
Patchwork Therapy And Growth Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4766 Us Route 60 Unit B, Huntington, WV 25705 Phone: 304-802-4769 Fax: 304-318-7183 | |
Prestera Center For Mental Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3375 Us Route 60, Huntington, WV 25705 Phone: 304-525-7851 Fax: 304-697-1286 | |
Huntington Mental Health Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 6th Ave, Huntington, WV 25701 Phone: 304-523-1142 | |
Starlight Behavioral Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5315 Cherry Lawn Rd, Huntington, WV 25705 Phone: 304-302-2078 Fax: 304-302-0279 | |
Ncgcare Acquisition, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5317 Cherry Lawn Rd, Huntington, WV 25705 Phone: 304-302-2078 Fax: 304-302-7260 | |
Goodwill Industries Of Kyowva Area, Inc. Family Service Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Memorial Blvd. W, Huntington, WV 25701 Phone: 304-523-9545 Fax: 304-525-7038 |