| Mountainstate Orthopedic Associates, Inc. | |
|
200 Orthopedic Way, Morgantown, WV 26505-1240 | |
| (304) 599-0720 | |
| (304) 599-3962 |
| Full Name | Mountainstate Orthopedic Associates, Inc. |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 200 Orthopedic Way, Morgantown, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659347540 | NPI | - | NPPES |
| 0010621000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Nick L Zervos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053388926 PECOS PAC ID: 6103899968 Enrollment ID: I20040818001296 |
| Provider Name | Matthew Philip Darmelio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295701167 PECOS PAC ID: 6709825011 Enrollment ID: I20050427000015 |
| Provider Name | Tonya K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801816574 PECOS PAC ID: 3173627700 Enrollment ID: I20070409000313 |
| Provider Name | Chris Vasilakis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659378081 PECOS PAC ID: 5395788392 Enrollment ID: I20080423000011 |
| Provider Name | Chad Joseph Micucci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386899664 PECOS PAC ID: 8628120557 Enrollment ID: I20100831000074 |
| Provider Name | Jacob Matthew Conjeski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942509518 PECOS PAC ID: 6406121326 Enrollment ID: I20171003006424 |
| Provider Name | Matthew Joseph Schessler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336408590 PECOS PAC ID: 9234404567 Enrollment ID: I20171012000266 |
| Provider Name | Joseph Greschner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508397696 PECOS PAC ID: 6709157241 Enrollment ID: I20220712001778 |
| Provider Name | Gregory Joseph Purnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205079837 PECOS PAC ID: 8729131594 Enrollment ID: I20230923000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainstate Orthopedic Associates, Inc. 200 Orthopedic Way, Morgantown, WV 26505-1240 Ph: (304) 599-0720 | Mountainstate Orthopedic Associates, Inc. 200 Orthopedic Way, Morgantown, WV 26505-1240 Ph: (304) 599-0720 |