| Apogee Medical Group, West Virginia, Pllc | |
|
20 Hospital Dr Logan WV 25601-3452 | |
| (304) 831-1643 | |
| Not Available |
| Full Name | Apogee Medical Group, West Virginia, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 20 Hospital Dr, Logan, West Virginia |
| Authorized Official Name and Position | Kevin Gregory (CIO) |
| Authorized Official Contact | 6027783600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apogee Medical Group, West Virginia, Pllc Po Box 708760 Sandy UT 84070-8760 Ph: (972) 269-1897 | Apogee Medical Group, West Virginia, Pllc 20 Hospital Dr Logan WV 25601-3452 Ph: (304) 831-1643 |
| NPI Number | 1669708442 |
|---|---|
| Provider Enumeration Date | 10/28/2009 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 0941343255 |
|---|---|
| Medicare Enrollment ID | O20100209000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669708442 | NPI | - | NPPES |
| Provider Name | Carlton W Herald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053302836 PECOS PAC ID: 9739087867 Enrollment ID: I20040106000285 |
| Provider Name | Robert Eguares Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073578647 PECOS PAC ID: 5698745792 Enrollment ID: I20040727001213 |
| Provider Name | Karunasree Kanuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174612907 PECOS PAC ID: 8820034028 Enrollment ID: I20051102000164 |
| Provider Name | Ahmad B Faridi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760426068 PECOS PAC ID: 1153376116 Enrollment ID: I20060728000134 |
| Provider Name | Radhakrishna Kukkillaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114981156 PECOS PAC ID: 6901964816 Enrollment ID: I20081022000151 |
| Provider Name | Kathy D Harvey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720036817 PECOS PAC ID: 1254460751 Enrollment ID: I20100521000072 |
| Provider Name | Robert L Toparis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558352732 PECOS PAC ID: 0042242356 Enrollment ID: I20101201000603 |
| Provider Name | Kenneth W Sells |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902838824 PECOS PAC ID: 6406014349 Enrollment ID: I20120222001031 |
| Provider Name | Muhannad M Al Qudsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528297850 PECOS PAC ID: 2769632785 Enrollment ID: I20121026000527 |
| Provider Name | Aung Kyaw Min Lal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467686386 PECOS PAC ID: 1557512803 Enrollment ID: I20121113000781 |
| Provider Name | Jody Goard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235325051 PECOS PAC ID: 4183876576 Enrollment ID: I20121211000342 |
| Provider Name | Nitin P Sangrampurkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598076291 PECOS PAC ID: 6709042567 Enrollment ID: I20140905000636 |
| Provider Name | Patience Agbonavbare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952651309 PECOS PAC ID: 4981844834 Enrollment ID: I20160218000052 |
| Provider Name | Ahmed G. Elsayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528221827 PECOS PAC ID: 2163697632 Enrollment ID: I20160919001204 |
| Provider Name | Haytham Alkhaimy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528408499 PECOS PAC ID: 4688818354 Enrollment ID: I20160921002529 |
| Provider Name | Anitra M Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831542281 PECOS PAC ID: 4183905482 Enrollment ID: I20161228001393 |
| Provider Name | Steve Woo Chul Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184885121 PECOS PAC ID: 5698923274 Enrollment ID: I20170206001906 |
| Provider Name | Anthony L Toparis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811317027 PECOS PAC ID: 2062631351 Enrollment ID: I20170809000439 |
| Provider Name | Rama Krishna Yalamanchili |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487064895 PECOS PAC ID: 8426350976 Enrollment ID: I20171017000996 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20180226000236 |
| Provider Name | Ernesto G Zavaleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982692554 PECOS PAC ID: 0749215382 Enrollment ID: I20180320001194 |
| Provider Name | Tammi E Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477042943 PECOS PAC ID: 2769737279 Enrollment ID: I20180622002473 |
| Provider Name | Michelle N Akiko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114285624 PECOS PAC ID: 8224269774 Enrollment ID: I20180823000911 |
| Provider Name | Said Hajouli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073995577 PECOS PAC ID: 2163773920 Enrollment ID: I20180918004351 |
| Provider Name | Staci Johnson Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467947895 PECOS PAC ID: 3678826617 Enrollment ID: I20181022001769 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20181112002713 |
| Provider Name | Saad Muhammad Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437501202 PECOS PAC ID: 2860721768 Enrollment ID: I20190830002449 |
| Provider Name | Mohammed Jaweed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164987574 PECOS PAC ID: 7719313030 Enrollment ID: I20200205001860 |
| Provider Name | Ramzyeh A Kaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811215718 PECOS PAC ID: 2860630365 Enrollment ID: I20200414003598 |
| Provider Name | Tina Brown-cohenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093277923 PECOS PAC ID: 2365872124 Enrollment ID: I20210413001285 |
| Provider Name | Vivek Ramnikbhai Mendapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457849895 PECOS PAC ID: 7214330315 Enrollment ID: I20210727003274 |
| Provider Name | Jennifer Lynn May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962008607 PECOS PAC ID: 5092113050 Enrollment ID: I20211006001990 |
| Provider Name | Ajay Yechuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659860369 PECOS PAC ID: 6800289273 Enrollment ID: I20220207001854 |
| Provider Name | Takara Leeann Muncy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114671906 PECOS PAC ID: 2567849128 Enrollment ID: I20220519002415 |
| Provider Name | David Sobhy Mourise Bassilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740727247 PECOS PAC ID: 2961786843 Enrollment ID: I20220923002630 |
| Provider Name | Jan Michael Racoma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902390099 PECOS PAC ID: 1153666862 Enrollment ID: I20221005002991 |
| Provider Name | Vishwadhipa Venkata Voore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578124624 PECOS PAC ID: 7719217769 Enrollment ID: I20221108001480 |
| Provider Name | Kwadwo Ofori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124335872 PECOS PAC ID: 3870711765 Enrollment ID: I20221128001081 |
| Provider Name | Tuan Q Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194716613 PECOS PAC ID: 8022066059 Enrollment ID: I20230214001126 |
| Provider Name | Michelle Ebiye Oye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407315757 PECOS PAC ID: 1759510829 Enrollment ID: I20230224001875 |
| Provider Name | Tanya Maddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083250963 PECOS PAC ID: 6002289659 Enrollment ID: I20230301000725 |
| Provider Name | Samip Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639691777 PECOS PAC ID: 0648699280 Enrollment ID: I20230410000499 |
| Provider Name | Shahryar Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932689528 PECOS PAC ID: 0244659613 Enrollment ID: I20230602000233 |
| Provider Name | Zackery E Asbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508489246 PECOS PAC ID: 4486059086 Enrollment ID: I20230713001200 |
| Provider Name | Carissa Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750731600 PECOS PAC ID: 6507220001 Enrollment ID: I20230918001295 |
| Provider Name | Allison Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700414257 PECOS PAC ID: 6406257393 Enrollment ID: I20231013002919 |
| Provider Name | Kosisochukwu Jude Ezeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205465549 PECOS PAC ID: 7012363641 Enrollment ID: I20231102000140 |
| Provider Name | Alexis Chika Nworah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386901411 PECOS PAC ID: 6002122496 Enrollment ID: I20231103002111 |
| Provider Name | Jose Medina-smester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295053593 PECOS PAC ID: 3779809025 Enrollment ID: I20231113003207 |
| Provider Name | Heather Ann Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669108361 PECOS PAC ID: 0547631780 Enrollment ID: I20231206004264 |
| Provider Name | Saw Khaung San |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043548514 PECOS PAC ID: 9436427101 Enrollment ID: I20231209000512 |
| Provider Name | Rhonda Marie Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295450989 PECOS PAC ID: 3072981174 Enrollment ID: I20231220004043 |
| Provider Name | Dunstan Akolbire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053818898 PECOS PAC ID: 4082015045 Enrollment ID: I20240118003034 |
| Provider Name | Abhyudaya Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356780092 PECOS PAC ID: 2466716568 Enrollment ID: I20240122001436 |
| Provider Name | James Emanuel Lanasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497796536 PECOS PAC ID: 0244326957 Enrollment ID: I20240123004344 |
| Provider Name | Shakiera Whyte Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265905780 PECOS PAC ID: 1850632712 Enrollment ID: I20240320002947 |
| Provider Name | Tinashe Blessings Kwenda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194306175 PECOS PAC ID: 0547602237 Enrollment ID: I20240528000125 |
| Provider Name | Mosunmola Ademosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003234006 PECOS PAC ID: 1759654379 Enrollment ID: I20240528000786 |
| Provider Name | Raelyn Jade Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588330484 PECOS PAC ID: 5597107961 Enrollment ID: I20240530002573 |
| Provider Name | Anthony S Montuno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639622 PECOS PAC ID: 4789933607 Enrollment ID: I20240530003351 |
| Provider Name | Omar Saleh Abu-romeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20240603001463 |
| Provider Name | Manjinder Pannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396091062 PECOS PAC ID: 5991018095 Enrollment ID: I20240610002836 |
| Provider Name | Susan Frye-yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740784776 PECOS PAC ID: 6709141757 Enrollment ID: I20240611004747 |
| Provider Name | Bahaa Ali Elzein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689294100 PECOS PAC ID: 4981025780 Enrollment ID: I20240612003787 |
| Provider Name | Prince Tano Djan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225569015 PECOS PAC ID: 0446536593 Enrollment ID: I20240621000463 |
| Provider Name | Quoc-thieu Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568844017 PECOS PAC ID: 6204148935 Enrollment ID: I20240716003506 |
| Provider Name | Jeffy Kenny Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134435530 PECOS PAC ID: 2567698483 Enrollment ID: I20240717000271 |
| Provider Name | Theodora Fynn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093804 PECOS PAC ID: 4880759653 Enrollment ID: I20240723003740 |
| Provider Name | Elie Antoine Nehme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306007091 PECOS PAC ID: 0941473664 Enrollment ID: I20240730001060 |
| Provider Name | Vijay Kakumanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225225816 PECOS PAC ID: 8921164146 Enrollment ID: I20240730003263 |
| Provider Name | Mopelola Isola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073514808 PECOS PAC ID: 2567456221 Enrollment ID: I20240801000945 |
| Provider Name | Nader Alwifati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982275210 PECOS PAC ID: 2860895620 Enrollment ID: I20240802003908 |
| Provider Name | Martha Wendemineh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075428 PECOS PAC ID: 7214314707 Enrollment ID: I20240815003496 |
| Provider Name | Adedapo Olamide Odetoyinbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784613 PECOS PAC ID: 2567491210 Enrollment ID: I20240821000883 |
| Provider Name | Makram Jurdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124281894 PECOS PAC ID: 0648444521 Enrollment ID: I20240825000072 |
| Provider Name | Sheila Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275185803 PECOS PAC ID: 6204167513 Enrollment ID: I20240826002309 |
| Provider Name | Majed Yaser Najjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194107987 PECOS PAC ID: 7416248851 Enrollment ID: I20240916001372 |
| Provider Name | Amsha Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710558549 PECOS PAC ID: 4284038241 Enrollment ID: I20240917004916 |
| Provider Name | Chidamber Alamelumangapuram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992956122 PECOS PAC ID: 3678725421 Enrollment ID: I20241010000981 |
| Provider Name | Khushwant Mangat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932661576 PECOS PAC ID: 8729313499 Enrollment ID: I20241107000701 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20241119000687 |
| Provider Name | Vivian Okirie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968501 PECOS PAC ID: 9931505625 Enrollment ID: I20241122001716 |
| Provider Name | Janeeka B Benoit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851824700 PECOS PAC ID: 0547653941 Enrollment ID: I20241126003609 |
| Provider Name | Valerie Marie Drabina-dombrowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982982955 PECOS PAC ID: 1850528878 Enrollment ID: I20241202000404 |
| Provider Name | Corey Helton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376003392 PECOS PAC ID: 5092104570 Enrollment ID: I20241209002236 |
| Provider Name | Lenita Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477948636 PECOS PAC ID: 0648599647 Enrollment ID: I20241210002738 |
| Provider Name | Hussam Sawass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770019655 PECOS PAC ID: 5193123925 Enrollment ID: I20241218000851 |
| Provider Name | Ahmed Hassan Mohamed Elsai Maky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467023937 PECOS PAC ID: 7517494289 Enrollment ID: I20241218003652 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20250121001750 |
| Provider Name | Lu Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843449 PECOS PAC ID: 3779862396 Enrollment ID: I20250128000854 |
| Provider Name | Monico Banez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962479451 PECOS PAC ID: 6406996008 Enrollment ID: I20250131002376 |
| Provider Name | Erik Quintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003480781 PECOS PAC ID: 4284033887 Enrollment ID: I20250218002948 |
| Provider Name | Atif Shahzad Yusufzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861134561 PECOS PAC ID: 3971024381 Enrollment ID: I20250228003499 |
| Provider Name | Brijesh Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174241194 PECOS PAC ID: 5294258463 Enrollment ID: I20250327004045 |
| Provider Name | Amanda Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497487599 PECOS PAC ID: 8921521154 Enrollment ID: I20250328001700 |
| Provider Name | Olva Olishia Bess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992371363 PECOS PAC ID: 6406379130 Enrollment ID: I20250402003323 |
| Provider Name | Mario Helou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568193530 PECOS PAC ID: 3678957719 Enrollment ID: I20250403002694 |
| Provider Name | Hakan Gelincik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659089613 PECOS PAC ID: 0547787962 Enrollment ID: I20250509000060 |
| Provider Name | Amani Altamimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699025171 PECOS PAC ID: 8820307226 Enrollment ID: I20250516002342 |
Carlton L W Herald Do Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Hospital Dr, Suite 100, Logan, WV 25601 Phone: 304-831-2061 Fax: 304-831-2063 | |
Lincoln County Primary Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Nick Savas Drive, Logan, WV 25601 Phone: 304-752-8081 Fax: 304-752-8083 | |
Walls Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 149 Jerry West Hwy Ste 2a, Logan, WV 25601 Phone: 304-688-2373 | |
Rural Health Access Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Hospital Dr, Logan, WV 25601 Phone: 304-831-1630 Fax: 300-831-1634 | |
Main Street Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Main St, Logan, WV 25601 Phone: 304-752-3400 Fax: 304-752-8138 | |
Ohio Valley Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 740-752-3435 Fax: 740-753-3436 | |
Absolute Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Bridge St, Logan, WV 25601 Phone: 304-896-5025 Fax: 304-896-5058 |