| Ths Physician Partners Inc | |
|
4605 Maccorkle Ave Sw South Charleston WV 25309-1311 | |
| (304) 414-4800 | |
| (304) 414-4801 |
| Full Name | Ths Physician Partners Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4605 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | Maria R Rendinell (VICE PRESIDENT, PHYSICIAN SERVICES) |
| Authorized Official Contact | 3047663526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ths Physician Partners Inc 4605 Maccorkle Ave Sw South Charleston WV 25309-1311 Ph: (304) 414-4800 | Ths Physician Partners Inc 4605 Maccorkle Ave Sw South Charleston WV 25309-1311 Ph: (304) 414-4800 |
| NPI Number | 1871866806 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Medicare PECOS PAC ID | 9537316393 |
|---|---|
| Medicare Enrollment ID | O20120829000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871866806 | NPI | - | NPPES |
| Provider Name | Todd A Witsberger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245326008 PECOS PAC ID: 8426945676 Enrollment ID: I20040302000776 |
| Provider Name | Chadwick R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417956657 PECOS PAC ID: 5395634992 Enrollment ID: I20040312000306 |
| Provider Name | Roy T Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174594642 PECOS PAC ID: 4789576950 Enrollment ID: I20040325000356 |
| Provider Name | Kishore K Challa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043377062 PECOS PAC ID: 0840285953 Enrollment ID: I20040419000219 |
| Provider Name | Mohammad Babar Yousaf |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689731622 PECOS PAC ID: 4981699006 Enrollment ID: I20040419000336 |
| Provider Name | Bassam N Shamma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326044413 PECOS PAC ID: 9133117385 Enrollment ID: I20040505000795 |
| Provider Name | Jeffrey Dameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699779207 PECOS PAC ID: 7315936663 Enrollment ID: I20040511000781 |
| Provider Name | Christopher Schlarb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376547927 PECOS PAC ID: 5294724563 Enrollment ID: I20040511000895 |
| Provider Name | Tamejiro Takubo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841218872 PECOS PAC ID: 5991795197 Enrollment ID: I20040518000252 |
| Provider Name | Phillip D Surface |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932122512 PECOS PAC ID: 3870486251 Enrollment ID: I20040602000004 |
| Provider Name | Russell F King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982608501 PECOS PAC ID: 0648175828 Enrollment ID: I20040709000055 |
| Provider Name | Michael E. Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740284371 PECOS PAC ID: 2668450420 Enrollment ID: I20040709000252 |
| Provider Name | Frank Charles Lucente |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306932140 PECOS PAC ID: 0648259697 Enrollment ID: I20040714001319 |
| Provider Name | Elizabeth C Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801848197 PECOS PAC ID: 5597744466 Enrollment ID: I20040715000250 |
| Provider Name | Johnsey Leef |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568466050 PECOS PAC ID: 0143292847 Enrollment ID: I20040812000394 |
| Provider Name | Stephen M Elksnis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669476271 PECOS PAC ID: 6406828193 Enrollment ID: I20040817000179 |
| Provider Name | Frank Allan Muto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932103579 PECOS PAC ID: 7911970090 Enrollment ID: I20040817000582 |
| Provider Name | John A Willis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437153939 PECOS PAC ID: 3779481189 Enrollment ID: I20040818000017 |
| Provider Name | Deidra Muto |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609164227 PECOS PAC ID: 0840266474 Enrollment ID: I20040907000070 |
| Provider Name | Jarena J Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235246729 PECOS PAC ID: 1153398524 Enrollment ID: I20040914001408 |
| Provider Name | Anna Katherine Corbin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114950516 PECOS PAC ID: 7810956992 Enrollment ID: I20041005000600 |
| Provider Name | Fred P Tzystuck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326064486 PECOS PAC ID: 5991764086 Enrollment ID: I20041005000678 |
| Provider Name | Ananthan Krishnathas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891786554 PECOS PAC ID: 6709849086 Enrollment ID: I20041108000770 |
| Provider Name | Robert Michael Eggleston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215916614 PECOS PAC ID: 9638133895 Enrollment ID: I20041208000031 |
| Provider Name | John H Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306935192 PECOS PAC ID: 5395709554 Enrollment ID: I20041208000039 |
| Provider Name | Michael G Sitler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262282 PECOS PAC ID: 5193779254 Enrollment ID: I20050310000970 |
| Provider Name | Samar R Sankari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013947241 PECOS PAC ID: 3476590282 Enrollment ID: I20050413000716 |
| Provider Name | Jason Allen Tackett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043326580 PECOS PAC ID: 9537137625 Enrollment ID: I20050623000167 |
| Provider Name | Larry Alan Rhodes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093781809 PECOS PAC ID: 5991734709 Enrollment ID: I20050811000238 |
| Provider Name | John A Deluca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407942345 PECOS PAC ID: 4880628130 Enrollment ID: I20050926000593 |
| Provider Name | James G Rosencrance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013016542 PECOS PAC ID: 1557396413 Enrollment ID: I20050929000003 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20051017000946 |
| Provider Name | Robby L Keith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781082 PECOS PAC ID: 6305865858 Enrollment ID: I20051115000176 |
| Provider Name | Rebecca Jean Donohoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114026671 PECOS PAC ID: 3072532522 Enrollment ID: I20051115000208 |
| Provider Name | John Mirrell Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609815786 PECOS PAC ID: 5698778785 Enrollment ID: I20060810000002 |
| Provider Name | Julie Ann Haddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629016647 PECOS PAC ID: 8224033105 Enrollment ID: I20060927000551 |
| Provider Name | Bonhomme Prudhomme |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1992877872 PECOS PAC ID: 9739187931 Enrollment ID: I20061127000001 |
| Provider Name | Richard Anthony Capito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407858772 PECOS PAC ID: 8123029816 Enrollment ID: I20070123000674 |
| Provider Name | Vivekanand Shankar Neginhal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578635074 PECOS PAC ID: 9032212527 Enrollment ID: I20070322000058 |
| Provider Name | Kimberly D Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396855177 PECOS PAC ID: 1951408491 Enrollment ID: I20070518000000 |
| Provider Name | Gorman Joel Reynolds |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184750325 PECOS PAC ID: 2567560584 Enrollment ID: I20070614000178 |
| Provider Name | Adam Thomas Krompecher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770517179 PECOS PAC ID: 2769487073 Enrollment ID: I20070615000002 |
| Provider Name | Kevin Lee Eggleston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720200744 PECOS PAC ID: 7113028648 Enrollment ID: I20070727000044 |
| Provider Name | Courtney Smith Adkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174741672 PECOS PAC ID: 3173610706 Enrollment ID: I20071030000263 |
| Provider Name | Mary Payne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316138324 PECOS PAC ID: 7315023223 Enrollment ID: I20080318000429 |
| Provider Name | James B Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497956361 PECOS PAC ID: 2668558495 Enrollment ID: I20080319000496 |
| Provider Name | Ramona Ann Davidson Dagostine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447347299 PECOS PAC ID: 2769569540 Enrollment ID: I20080403000121 |
| Provider Name | Greta Virginia Guyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477623775 PECOS PAC ID: 8820167646 Enrollment ID: I20080520000626 |
| Provider Name | Ziad Kahwash |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568429355 PECOS PAC ID: 7416028576 Enrollment ID: I20080617000348 |
| Provider Name | Kristen Price Eads |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942429790 PECOS PAC ID: 8426121120 Enrollment ID: I20080714000287 |
| Provider Name | Johnna Michelle Jackson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255537999 PECOS PAC ID: 7517032840 Enrollment ID: I20080820000453 |
| Provider Name | Robert H Romaine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023233947 PECOS PAC ID: 0244395903 Enrollment ID: I20090212000301 |
| Provider Name | Youmna Mousattat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124272224 PECOS PAC ID: 5294891370 Enrollment ID: I20090226000238 |
| Provider Name | Howard W Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508066648 PECOS PAC ID: 8729145891 Enrollment ID: I20090318000188 |
| Provider Name | Tara Noel Young-hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821234832 PECOS PAC ID: 1355490855 Enrollment ID: I20090512000340 |
| Provider Name | Bruce Fredric Haupt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063581833 PECOS PAC ID: 8729006903 Enrollment ID: I20090710000398 |
| Provider Name | Tracie F Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679709554 PECOS PAC ID: 5799838959 Enrollment ID: I20090805000480 |
| Provider Name | Sachin V Bendre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811125701 PECOS PAC ID: 1951455971 Enrollment ID: I20090811000002 |
| Provider Name | Pamela M Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992760698 PECOS PAC ID: 9032115043 Enrollment ID: I20090918000445 |
| Provider Name | Lester Labus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235124413 PECOS PAC ID: 8820161003 Enrollment ID: I20091006000454 |
| Provider Name | Crystal Heatherman Bastin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962453191 PECOS PAC ID: 0749242428 Enrollment ID: I20091112000147 |
| Provider Name | Timothy Ray Deer |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861424210 PECOS PAC ID: 7214822204 Enrollment ID: I20100219000513 |
| Provider Name | Christopher Konkyo Kim |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780619742 PECOS PAC ID: 7315081833 Enrollment ID: I20100223000010 |
| Provider Name | David Richard Lough |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407855422 PECOS PAC ID: 9436294568 Enrollment ID: I20100301000712 |
| Provider Name | Narender R Jogenpally |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396741880 PECOS PAC ID: 8820185739 Enrollment ID: I20100315000984 |
| Provider Name | Gregory J Moses |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073519468 PECOS PAC ID: 7214988096 Enrollment ID: I20100316000104 |
| Provider Name | Kimberly Bush-uy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245266840 PECOS PAC ID: 8527952357 Enrollment ID: I20100415000051 |
| Provider Name | Adam Dale Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609034412 PECOS PAC ID: 8527106442 Enrollment ID: I20100519000894 |
| Provider Name | Andrea Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174552590 PECOS PAC ID: 3577692110 Enrollment ID: I20100520000284 |
| Provider Name | Paul T Kuryla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821058348 PECOS PAC ID: 7113828328 Enrollment ID: I20100615000001 |
| Provider Name | John W Hannah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295849982 PECOS PAC ID: 4385775691 Enrollment ID: I20100701000048 |
| Provider Name | Manuel Evencio Molina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881615557 PECOS PAC ID: 6709919392 Enrollment ID: I20100803000832 |
| Provider Name | John Henry Mani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548374234 PECOS PAC ID: 0840323267 Enrollment ID: I20100813001021 |
| Provider Name | Shawn D Reesman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194781260 PECOS PAC ID: 8729168687 Enrollment ID: I20100824000945 |
| Provider Name | Michael M Boustany |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619973096 PECOS PAC ID: 4789572736 Enrollment ID: I20100902000540 |
| Provider Name | Staci Charlene Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558576454 PECOS PAC ID: 1951425412 Enrollment ID: I20100907000103 |
| Provider Name | Luke Weldon Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104023795 PECOS PAC ID: 0648395699 Enrollment ID: I20100914000625 |
| Provider Name | William Alexander Wade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003029075 PECOS PAC ID: 9739205709 Enrollment ID: I20100927001476 |
| Provider Name | Pamela Kay Maddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073679270 PECOS PAC ID: 4880710854 Enrollment ID: I20100927001540 |
| Provider Name | William R Jeffrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285620385 PECOS PAC ID: 8022203363 Enrollment ID: I20101111000913 |
| Provider Name | Michael S Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760485593 PECOS PAC ID: 3678523115 Enrollment ID: I20101227000018 |
| Provider Name | Vonda K Kiser-thomasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669778494 PECOS PAC ID: 6103001292 Enrollment ID: I20110505000453 |
| Provider Name | Michael Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588966030 PECOS PAC ID: 9638355977 Enrollment ID: I20110520000266 |
| Provider Name | Lesley A Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548554488 PECOS PAC ID: 1759552912 Enrollment ID: I20110919000808 |
| Provider Name | Jennifer Ladd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275732216 PECOS PAC ID: 1456524156 Enrollment ID: I20111025000221 |
| Provider Name | Mark Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285895938 PECOS PAC ID: 0446423065 Enrollment ID: I20111027000000 |
| Provider Name | Bethany Dawn Hoylman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215216353 PECOS PAC ID: 8729251228 Enrollment ID: I20111028000087 |
| Provider Name | Rachel Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972884658 PECOS PAC ID: 1951575554 Enrollment ID: I20111116000795 |
| Provider Name | William Stewart |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447257035 PECOS PAC ID: 6800056649 Enrollment ID: I20120402000190 |
| Provider Name | Bernard Joseph Luby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659431096 PECOS PAC ID: 3870685183 Enrollment ID: I20120522001214 |
| Provider Name | Dibbendu Mahanayak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194950071 PECOS PAC ID: 2365693173 Enrollment ID: I20121102000410 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20121211000342 |
| Provider Name | Gina P. Seabolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053664169 PECOS PAC ID: 4789839853 Enrollment ID: I20130222000104 |
| Provider Name | Rebecca L Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902243447 PECOS PAC ID: 6608019203 Enrollment ID: I20130829000764 |
| Provider Name | Christopher W Mercer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811218779 PECOS PAC ID: 2567606734 Enrollment ID: I20130910000769 |
| Provider Name | Leonard White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003072810 PECOS PAC ID: 4688849409 Enrollment ID: I20130916000479 |
| Provider Name | Phillip D Cox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629262944 PECOS PAC ID: 0446491906 Enrollment ID: I20131015001308 |
| Provider Name | Brittany A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437591989 PECOS PAC ID: 3971733825 Enrollment ID: I20140220001523 |
| Provider Name | Jamie L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056345 PECOS PAC ID: 7810129376 Enrollment ID: I20140415001817 |
| Provider Name | Michelle L Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194143123 PECOS PAC ID: 7911121637 Enrollment ID: I20140618001981 |
| Provider Name | Timothy A Vanhoose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225296429 PECOS PAC ID: 4688899180 Enrollment ID: I20140625000872 |
| Provider Name | Daniel Adam Rodgers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255508644 PECOS PAC ID: 2264672906 Enrollment ID: I20140709001827 |
| Provider Name | Jonathan Michael White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538452438 PECOS PAC ID: 4284850843 Enrollment ID: I20140717001396 |
| Provider Name | Andrea M Lauffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114247475 PECOS PAC ID: 1951548254 Enrollment ID: I20140905001185 |
| Provider Name | Christy Ann Buchko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659661577 PECOS PAC ID: 6103078944 Enrollment ID: I20140910000064 |
| Provider Name | Ryan Waddell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528232683 PECOS PAC ID: 5092945345 Enrollment ID: I20141001002538 |
| Provider Name | Lauren M Linville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760890412 PECOS PAC ID: 5799905352 Enrollment ID: I20141001002817 |
| Provider Name | Lisa Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083013353 PECOS PAC ID: 9739301466 Enrollment ID: I20141113001935 |
| Provider Name | Mary E Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568861482 PECOS PAC ID: 2961724448 Enrollment ID: I20141211002147 |
| Provider Name | Ashley Gunno Comer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306249966 PECOS PAC ID: 8123341369 Enrollment ID: I20141219001401 |
| Provider Name | Rupali N Sangrampurkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023394244 PECOS PAC ID: 5395069496 Enrollment ID: I20150120002253 |
| Provider Name | Teresa L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619302676 PECOS PAC ID: 0143544197 Enrollment ID: I20150121002017 |
| Provider Name | John Ponugupati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124274303 PECOS PAC ID: 0446575013 Enrollment ID: I20150203001303 |
| Provider Name | Scott G Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750781027 PECOS PAC ID: 1456677905 Enrollment ID: I20150228000098 |
| Provider Name | Lee Pyles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174542062 PECOS PAC ID: 8224075882 Enrollment ID: I20150318001643 |
| Provider Name | Matthew D Stover |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649412578 PECOS PAC ID: 7618147976 Enrollment ID: I20150713000188 |
| Provider Name | Freddie D Persinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104145135 PECOS PAC ID: 7416195615 Enrollment ID: I20150814012990 |
| Provider Name | Amber Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770964819 PECOS PAC ID: 8325355688 Enrollment ID: I20150918000546 |
| Provider Name | Josha D Odell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497139919 PECOS PAC ID: 1658680913 Enrollment ID: I20151027003115 |
| Provider Name | Kala Leigh Puterbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881079663 PECOS PAC ID: 3274843982 Enrollment ID: I20151110000592 |
| Provider Name | Tina Marie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073989638 PECOS PAC ID: 6103126107 Enrollment ID: I20151124000064 |
| Provider Name | Edward Wendall Eskew |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1942671227 PECOS PAC ID: 3274550835 Enrollment ID: I20151216002200 |
| Provider Name | Usreesha Gourneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851642300 PECOS PAC ID: 4183926496 Enrollment ID: I20160104001667 |
| Provider Name | Jaime Lynn Meeks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942520309 PECOS PAC ID: 3678712122 Enrollment ID: I20160217002596 |
| Provider Name | James D Perry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679893036 PECOS PAC ID: 9133368491 Enrollment ID: I20160603000998 |
| Provider Name | Tara L Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235585027 PECOS PAC ID: 0042507030 Enrollment ID: I20160919001756 |
| Provider Name | Susmitha M Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932330305 PECOS PAC ID: 0840512687 Enrollment ID: I20160922001003 |
| Provider Name | Scott Findley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407113905 PECOS PAC ID: 2466769310 Enrollment ID: I20160922001896 |
| Provider Name | Shane Dragan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982024048 PECOS PAC ID: 8628370293 Enrollment ID: I20161010001656 |
| Provider Name | Lindsay A Skaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861844433 PECOS PAC ID: 2769770049 Enrollment ID: I20161019002897 |
| Provider Name | Jeremy Dale Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164970570 PECOS PAC ID: 7214216282 Enrollment ID: I20161115000706 |
| Provider Name | Katrina Diane Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144770157 PECOS PAC ID: 2769762889 Enrollment ID: I20161207001649 |
| Provider Name | Amanda Michelle Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447701388 PECOS PAC ID: 4486935053 Enrollment ID: I20161220001432 |
| Provider Name | Amanda Lee Hudnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538616370 PECOS PAC ID: 2466738901 Enrollment ID: I20170417001527 |
| Provider Name | Jade Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487192159 PECOS PAC ID: 7911274147 Enrollment ID: I20170518001839 |
| Provider Name | Anthony L Toparis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811317027 PECOS PAC ID: 2062631351 Enrollment ID: I20170809000439 |
| Provider Name | Dhashaini Nadarajah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043572860 PECOS PAC ID: 6709158470 Enrollment ID: I20170816001575 |
| Provider Name | Pieter Alexander Verhoeven |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811213614 PECOS PAC ID: 3577836345 Enrollment ID: I20180109000014 |
| Provider Name | Weston Childers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447608096 PECOS PAC ID: 1153681176 Enrollment ID: I20180212001148 |
| Provider Name | Amie Nicole Lopez Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932612629 PECOS PAC ID: 7012279565 Enrollment ID: I20180320003134 |
| Provider Name | Rudy Jewan Judhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528299765 PECOS PAC ID: 5193019164 Enrollment ID: I20180405000457 |
| Provider Name | Jamie L Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659884435 PECOS PAC ID: 1557625654 Enrollment ID: I20180425001789 |
| Provider Name | Jameson Ross Fleming |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831501311 PECOS PAC ID: 4486919404 Enrollment ID: I20180522002515 |
| Provider Name | Tabitha D Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912423740 PECOS PAC ID: 3375808264 Enrollment ID: I20180523003121 |
| Provider Name | Kara Lee Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104322320 PECOS PAC ID: 5890050546 Enrollment ID: I20180529003152 |
| Provider Name | Cheree Elizabeth Jarrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558863472 PECOS PAC ID: 1153686480 Enrollment ID: I20180607000858 |
| Provider Name | Jeremy Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270749 PECOS PAC ID: 6901101567 Enrollment ID: I20180619000009 |
| Provider Name | Roger S. Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053721167 PECOS PAC ID: 1456579754 Enrollment ID: I20180816001833 |
| Provider Name | Michelle N Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20180823000911 |
| Provider Name | Ifeanyichukwu G Chukwuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20181112002713 |
| Provider Name | Nita Ray Chaudhuri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184984015 PECOS PAC ID: 1052616802 Enrollment ID: I20181212000467 |
| Provider Name | Martin L Chadwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508253147 PECOS PAC ID: 2769798008 Enrollment ID: I20181212001234 |
| Provider Name | Christine Carole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326516865 PECOS PAC ID: 5395080519 Enrollment ID: I20181217001689 |
| Provider Name | Molly Beth White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483447 PECOS PAC ID: 3577809839 Enrollment ID: I20190108003104 |
| Provider Name | Dragana Orlovic |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407824345 PECOS PAC ID: 6709801103 Enrollment ID: I20190222000007 |
| Provider Name | Scottie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497268114 PECOS PAC ID: 1951640390 Enrollment ID: I20190304000348 |
| Provider Name | Andrea Dawn Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720551633 PECOS PAC ID: 4486993508 Enrollment ID: I20190306002596 |
| Provider Name | Tara Melgary Hansen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578839957 PECOS PAC ID: 2466604269 Enrollment ID: I20190423001235 |
| Provider Name | Lisa R Mallory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598223216 PECOS PAC ID: 9830431493 Enrollment ID: I20190430002944 |
| Provider Name | Caitlin Briana Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477114221 PECOS PAC ID: 8729316286 Enrollment ID: I20190821002509 |
| Provider Name | Sanjay Suwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710339163 PECOS PAC ID: 4082958202 Enrollment ID: I20190829001185 |
| Provider Name | Temitayo Akinsode Ogundipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775148 PECOS PAC ID: 7012246887 Enrollment ID: I20190904003339 |
| Provider Name | Melissa Sue Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689235798 PECOS PAC ID: 1456680735 Enrollment ID: I20190911003230 |
| Provider Name | Yezenia Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538712138 PECOS PAC ID: 4880924398 Enrollment ID: I20190926001369 |
| Provider Name | Kelsey Lee Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114573417 PECOS PAC ID: 3173853330 Enrollment ID: I20191001002642 |
| Provider Name | Joseph Hansroth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841731114 PECOS PAC ID: 6901141266 Enrollment ID: I20191024000040 |
| Provider Name | Miyuki Nakamura Ege |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1912537424 PECOS PAC ID: 4789012568 Enrollment ID: I20200309001873 |
| Provider Name | Pascal Atanga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700267770 PECOS PAC ID: 8022322163 Enrollment ID: I20200402000810 |
| Provider Name | Hana Hagos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588810956 PECOS PAC ID: 8022288265 Enrollment ID: I20200409003118 |
| Provider Name | Robert C Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801816814 PECOS PAC ID: 3577461284 Enrollment ID: I20200616001991 |
| Provider Name | Andrew S Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972954485 PECOS PAC ID: 7315299443 Enrollment ID: I20200805000289 |
| Provider Name | Stanley Gregory Guertal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770019739 PECOS PAC ID: 8921350042 Enrollment ID: I20200811003663 |
| Provider Name | Vinod Valentine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154740520 PECOS PAC ID: 9133546963 Enrollment ID: I20200825003130 |
| Provider Name | Tina Ngoc Tran Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770965220 PECOS PAC ID: 4587979349 Enrollment ID: I20200827001763 |
| Provider Name | Brad Leonard Lindsey |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1346236072 PECOS PAC ID: 0042104366 Enrollment ID: I20200928001543 |
| Provider Name | Kristin Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104367507 PECOS PAC ID: 7911277512 Enrollment ID: I20201005001694 |
| Provider Name | Kimberly Rebecca Saul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932710571 PECOS PAC ID: 1951721489 Enrollment ID: I20201021002037 |
| Provider Name | Robin Fanning Darnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346340825 PECOS PAC ID: 7719398684 Enrollment ID: I20201125000118 |
| Provider Name | Utkarsh Kohli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538398169 PECOS PAC ID: 0941594923 Enrollment ID: I20201207002438 |
| Provider Name | Brandon Scott Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346744281 PECOS PAC ID: 2668724709 Enrollment ID: I20201211000854 |
| Provider Name | Heath Collin Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962028738 PECOS PAC ID: 6305259094 Enrollment ID: I20210120000893 |
| Provider Name | Taylor Nicole Dodrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699361709 PECOS PAC ID: 4486061496 Enrollment ID: I20210318000640 |
| Provider Name | Jai Udassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538188776 PECOS PAC ID: 2860436227 Enrollment ID: I20210319001455 |
| Provider Name | Erica Ryan Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639763618 PECOS PAC ID: 0143637074 Enrollment ID: I20210322000651 |
| Provider Name | Caleb Lee Mills |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003296336 PECOS PAC ID: 3678882453 Enrollment ID: I20210401001037 |
| Provider Name | Jessica Anna Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720556848 PECOS PAC ID: 2163830332 Enrollment ID: I20210428001567 |
| Provider Name | Sindhuri Benjaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437684040 PECOS PAC ID: 5193097988 Enrollment ID: I20210519001366 |
| Provider Name | Bradley G Marple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760914691 PECOS PAC ID: 7810262755 Enrollment ID: I20210719000178 |
| Provider Name | Courtney Molnar Kassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750485926 PECOS PAC ID: 8729086392 Enrollment ID: I20210820001316 |
| Provider Name | Waleed Ahmed Mir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588151252 PECOS PAC ID: 5890192769 Enrollment ID: I20210920001000 |
| Provider Name | Sreedevi Ramakrishnaiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518215698 PECOS PAC ID: 4688961113 Enrollment ID: I20210920001266 |
| Provider Name | Swaroop Ramaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821512518 PECOS PAC ID: 1557615358 Enrollment ID: I20210928001795 |
| Provider Name | Cory David Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194340687 PECOS PAC ID: 1759706120 Enrollment ID: I20211007002207 |
| Provider Name | Sara Henley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699125088 PECOS PAC ID: 8820383391 Enrollment ID: I20211026002460 |
| Provider Name | Joyell Lee Johnston-bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831762624 PECOS PAC ID: 1557750379 Enrollment ID: I20211117002086 |
| Provider Name | Ryan R Budwany |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1013302140 PECOS PAC ID: 8426328998 Enrollment ID: I20211207000517 |
| Provider Name | Heather Nichole Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972182830 PECOS PAC ID: 0446640213 Enrollment ID: I20211209002346 |
| Provider Name | Megan Elaine Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104582410 PECOS PAC ID: 1951791698 Enrollment ID: I20211211000125 |
| Provider Name | Karla Jean Downey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689227308 PECOS PAC ID: 7214267913 Enrollment ID: I20211214003180 |
| Provider Name | Esraa Mansor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417453416 PECOS PAC ID: 4587915947 Enrollment ID: I20211215000031 |
| Provider Name | Asif Anwar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134179450 PECOS PAC ID: 0244253714 Enrollment ID: I20220125002464 |
| Provider Name | Brooke Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366103327 PECOS PAC ID: 7416340203 Enrollment ID: I20220128002185 |
| Provider Name | Brijal P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043598063 PECOS PAC ID: 0042439259 Enrollment ID: I20220204002284 |
| Provider Name | Parthavkumar Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871975300 PECOS PAC ID: 0547560286 Enrollment ID: I20220208002121 |
| Provider Name | Anne Haley Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083388227 PECOS PAC ID: 2062805021 Enrollment ID: I20220215002368 |
| Provider Name | Teas E Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740591577 PECOS PAC ID: 4486976735 Enrollment ID: I20220218001173 |
| Provider Name | Amanda Mika |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952753469 PECOS PAC ID: 2668729112 Enrollment ID: I20220325001356 |
| Provider Name | Jamie Danielle Garnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346913621 PECOS PAC ID: 0244626919 Enrollment ID: I20220405002366 |
| Provider Name | Lenisha Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223917 PECOS PAC ID: 9830520071 Enrollment ID: I20220527000356 |
| Provider Name | Rabia Noor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366894263 PECOS PAC ID: 8628309788 Enrollment ID: I20220607001292 |
| Provider Name | Brent Pressman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750731048 PECOS PAC ID: 8224323084 Enrollment ID: I20220623003359 |
| Provider Name | Cheryl Denise Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972275485 PECOS PAC ID: 2860874245 Enrollment ID: I20220802000437 |
| Provider Name | Mehar Hoda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740662808 PECOS PAC ID: 3476859604 Enrollment ID: I20220901002000 |
| Provider Name | Perathu Kannu Rakesh Manivannan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912468513 PECOS PAC ID: 1658600028 Enrollment ID: I20220907002166 |
| Provider Name | Veronica Ann Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841881067 PECOS PAC ID: 8820474869 Enrollment ID: I20220929000098 |
| Provider Name | William T Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073074829 PECOS PAC ID: 9931575149 Enrollment ID: I20221013000110 |
| Provider Name | Muhammad Absar Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477110468 PECOS PAC ID: 9931439098 Enrollment ID: I20221027001689 |
| Provider Name | Muhammad Haroon Burhanullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972824340 PECOS PAC ID: 6204146707 Enrollment ID: I20221208001918 |
| Provider Name | Kwasi Amponsah Gambrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447811872 PECOS PAC ID: 6901135110 Enrollment ID: I20221212002895 |
| Provider Name | Ahsan Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710328398 PECOS PAC ID: 0042453144 Enrollment ID: I20230125000704 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20230130001088 |
| Provider Name | Tuan Q Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194716613 PECOS PAC ID: 8022066059 Enrollment ID: I20230214001126 |
| Provider Name | Benjamin Jude |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649837683 PECOS PAC ID: 4284965336 Enrollment ID: I20230503000173 |
| Provider Name | Nicholas Overton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725803 PECOS PAC ID: 9830557446 Enrollment ID: I20230614000556 |
| Provider Name | Michael Harry Mastromichalis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346444700 PECOS PAC ID: 4284789330 Enrollment ID: I20230712001232 |
| Provider Name | Yousef Treki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295266484 PECOS PAC ID: 5890071708 Enrollment ID: I20230720003081 |
| Provider Name | Samantha Zdanowicz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487270948 PECOS PAC ID: 2466813316 Enrollment ID: I20230725003558 |
| Provider Name | Raad Al Shaikhli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326433483 PECOS PAC ID: 5698073492 Enrollment ID: I20230726001787 |
| Provider Name | Amy Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790245744 PECOS PAC ID: 9133456908 Enrollment ID: I20230726002236 |
| Provider Name | Marcin K Karcz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1144484569 PECOS PAC ID: 6709001142 Enrollment ID: I20230807001111 |
| Provider Name | Atif Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700087210 PECOS PAC ID: 2567529456 Enrollment ID: I20230809002823 |
| Provider Name | Celestine Mkpozi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992225494 PECOS PAC ID: 2163776246 Enrollment ID: I20230810002697 |
| Provider Name | Jessica Mullins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558980870 PECOS PAC ID: 2769844356 Enrollment ID: I20230814003421 |
| Provider Name | Bailey Joe Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982398707 PECOS PAC ID: 3375905755 Enrollment ID: I20230816003996 |
| Provider Name | Deo Mulindwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881092385 PECOS PAC ID: 3476869587 Enrollment ID: I20230823001858 |
| Provider Name | Ghaith Alhatemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851787048 PECOS PAC ID: 6204139033 Enrollment ID: I20230928001104 |
| Provider Name | Rachel Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649950577 PECOS PAC ID: 9436503885 Enrollment ID: I20231004000079 |
| Provider Name | Kristin Lynn Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649958257 PECOS PAC ID: 1456706795 Enrollment ID: I20231006001178 |
| Provider Name | Clark Edwin Childers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184793150 PECOS PAC ID: 6305293762 Enrollment ID: I20231107003761 |
| Provider Name | Lucas Bracero |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1699270991 PECOS PAC ID: 4284962846 Enrollment ID: I20231122003434 |
| Provider Name | Gilbert Goliath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437155991 PECOS PAC ID: 4880045509 Enrollment ID: I20240108000824 |
| Provider Name | Ashley Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265121891 PECOS PAC ID: 5698126324 Enrollment ID: I20240108000864 |
| Provider Name | Mackenzie Brooke Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407621543 PECOS PAC ID: 9830540350 Enrollment ID: I20240109004422 |
| Provider Name | Syed T Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396733713 PECOS PAC ID: 6800786989 Enrollment ID: I20240119002008 |
| Provider Name | Brandon Bryce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203955 PECOS PAC ID: 3476711953 Enrollment ID: I20240126001688 |
| Provider Name | Elisabeth A Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790563476 PECOS PAC ID: 8820432248 Enrollment ID: I20240213004573 |
| Provider Name | Hamid Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679693931 PECOS PAC ID: 2668503798 Enrollment ID: I20240321003068 |
| Provider Name | Vonzell Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861674921 PECOS PAC ID: 4082884333 Enrollment ID: I20240329000342 |
| Provider Name | Balachandran R Vaidyanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588293641 PECOS PAC ID: 5698199875 Enrollment ID: I20240410002876 |
| Provider Name | Alexandra Kae Lawler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861051112 PECOS PAC ID: 6204163991 Enrollment ID: I20240426002358 |
| Provider Name | Niki Aliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699529651 PECOS PAC ID: 9739621905 Enrollment ID: I20240604002227 |
| Provider Name | Nirali Jayantilal Borad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265007165 PECOS PAC ID: 6305243569 Enrollment ID: I20240624000631 |
| Provider Name | William Valcheck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609397413 PECOS PAC ID: 8527491018 Enrollment ID: I20240627000141 |
| Provider Name | James E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992728927 PECOS PAC ID: 9638140973 Enrollment ID: I20240723000903 |
| Provider Name | Mirza S Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20240723001073 |
| Provider Name | Daniel Hopkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952515728 PECOS PAC ID: 3072608207 Enrollment ID: I20240729004592 |
| Provider Name | Sean Samuel Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487892139 PECOS PAC ID: 3577716398 Enrollment ID: I20240731000895 |
| Provider Name | Nabeel Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740806041 PECOS PAC ID: 8628412434 Enrollment ID: I20240808003977 |
| Provider Name | Eskinder Nesrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528415775 PECOS PAC ID: 6709219173 Enrollment ID: I20240817000660 |
| Provider Name | Chuen-fu Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043328818 PECOS PAC ID: 2365695624 Enrollment ID: I20240830000059 |
| Provider Name | Amanda Denise Segsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821448762 PECOS PAC ID: 0840730529 Enrollment ID: I20240909002815 |
| Provider Name | Megan Pignato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053949438 PECOS PAC ID: 8729405246 Enrollment ID: I20240912002371 |
| Provider Name | Joshua Sherwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790869311 PECOS PAC ID: 9537057849 Enrollment ID: I20240916001155 |
| Provider Name | Stephen Lee Deweese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356872709 PECOS PAC ID: 5991113896 Enrollment ID: I20240924003963 |
| Provider Name | Tyler Jeffrey Francis Skidmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689202962 PECOS PAC ID: 4587085360 Enrollment ID: I20240926000827 |
| Provider Name | Swapna Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013361567 PECOS PAC ID: 6901191329 Enrollment ID: I20241021002389 |
| Provider Name | Grace Baffoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336669290 PECOS PAC ID: 0244658086 Enrollment ID: I20241023004893 |
| Provider Name | Olivier De Raet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780870063 PECOS PAC ID: 5395929541 Enrollment ID: I20241023004940 |
| Provider Name | Natasha Telesford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20241105002255 |
| Provider Name | Asef Obaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902426455 PECOS PAC ID: 9335597376 Enrollment ID: I20241111002493 |
| Provider Name | Kayla Strandberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982280491 PECOS PAC ID: 3779985981 Enrollment ID: I20241112002700 |
| Provider Name | Leann Shannon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326435264 PECOS PAC ID: 3971805953 Enrollment ID: I20241112003768 |
| Provider Name | Mouhammed Aiman Sakkal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093398844 PECOS PAC ID: 6002217965 Enrollment ID: I20241113001356 |
| Provider Name | John David Lindsay |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720547086 PECOS PAC ID: 4688109168 Enrollment ID: I20241120002603 |
| Provider Name | Pierre U Etienne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468400 PECOS PAC ID: 2961714084 Enrollment ID: I20241121003594 |
| Provider Name | Yasir Alzubaidi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962867887 PECOS PAC ID: 5294022943 Enrollment ID: I20241122000107 |
| Provider Name | Becky Jones Jordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689493785 PECOS PAC ID: 0042746893 Enrollment ID: I20241204001181 |
| Provider Name | Amy M Fortson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275172348 PECOS PAC ID: 1052847779 Enrollment ID: I20241205000031 |
| Provider Name | Grant Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770825838 PECOS PAC ID: 0042514234 Enrollment ID: I20241207000192 |
| Provider Name | Melissa Lafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871672543 PECOS PAC ID: 7012019441 Enrollment ID: I20241230001204 |
| Provider Name | Ashley Lilly Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679084628 PECOS PAC ID: 6305374307 Enrollment ID: I20250103001401 |
| Provider Name | Nuri Ozden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841279627 PECOS PAC ID: 5890746366 Enrollment ID: I20250107002727 |
| Provider Name | Yvonne D Hargrow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649703331 PECOS PAC ID: 3678001781 Enrollment ID: I20250116001419 |
| Provider Name | Torri Laine Slentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306673181 PECOS PAC ID: 7719415843 Enrollment ID: I20250116002082 |
| Provider Name | Nathan Tyler Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891523882 PECOS PAC ID: 1456880327 Enrollment ID: I20250122000520 |
| Provider Name | Alastair Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922373075 PECOS PAC ID: 4486955663 Enrollment ID: I20250128003955 |
| Provider Name | Elaina F George |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316949571 PECOS PAC ID: 5193867703 Enrollment ID: I20250129001847 |
| Provider Name | Holli Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003411141 PECOS PAC ID: 5193254340 Enrollment ID: I20250203000231 |
| Provider Name | Aimee Turner Lacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447069471 PECOS PAC ID: 3072033109 Enrollment ID: I20250220000132 |
| Provider Name | Emmanuel Ofungwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669812921 PECOS PAC ID: 8123334646 Enrollment ID: I20250221001126 |
| Provider Name | Mary Jo Selbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770090011 PECOS PAC ID: 3375064710 Enrollment ID: I20250303000451 |
Devaraj Behavioral Healthcare Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1109 Jefferson Rd Ste C, South Charleston, WV 25309 Phone: 877-338-2725 Fax: 304-715-3537 | |
Empower Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Central Ave, South Charleston, WV 25303 Phone: 304-993-8685 | |
Psycare Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 312 6th Ave Ste 2, South Charleston, WV 25303 Phone: 304-768-6170 Fax: 304-768-2099 | |
Metamorphosis Counseling, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Maccorkle Ave Sw, Suite 103, South Charleston, WV 25309 Phone: 304-768-1401 Fax: 304-768-1402 | |
The Counseling Nook Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 D St, South Charleston, WV 25303 Phone: 304-887-2994 | |
Herbert J Thomas Memorial Hospital Association Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3536 Fax: 304-766-4315 | |
Phoenix Counseling And Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4855 Maccorkle Ave Sw Ste 200, South Charleston, WV 25309 Phone: 304-806-2273 |