| Potomac Valley Hospital Of Wva, Inc | |
|
100 Pin Oak Lane Keyser WV 26726-2643 | |
| (304) 597-3500 | |
| Not Available |
| Full Name | Potomac Valley Hospital Of Wva, Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 100 Pin Oak Lane, Keyser, West Virginia |
| Authorized Official Name and Position | Linda K Shroyer (CEO) |
| Authorized Official Contact | 3045973510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Valley Hospital Of Wva, Inc 100 Pin Oak Ln Keyser WV 26726-5908 Ph: (304) 597-3500 | Potomac Valley Hospital Of Wva, Inc 100 Pin Oak Lane Keyser WV 26726-2643 Ph: (304) 597-3500 |
| NPI Number | 1316054919 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8123917788 |
|---|---|
| Medicare Enrollment ID | O20040311001344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316054919 | NPI | - | NPPES |
| 3810000782 | Medicaid | WV |
| Provider Name | Jennifer A Hensley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245320787 PECOS PAC ID: 9739072083 Enrollment ID: I20040203000019 |
| Provider Name | Robert Evans Bowen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124042684 PECOS PAC ID: 1456245281 Enrollment ID: I20040218000345 |
| Provider Name | Joseph O Nnadike |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497705701 PECOS PAC ID: 6800788571 Enrollment ID: I20040802000831 |
| Provider Name | John M Logar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396722823 PECOS PAC ID: 5991764433 Enrollment ID: I20041008000848 |
| Provider Name | Charles Bess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528069614 PECOS PAC ID: 1951350057 Enrollment ID: I20050215000982 |
| Provider Name | Kevin M Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487664835 PECOS PAC ID: 0648217638 Enrollment ID: I20050412000157 |
| Provider Name | Kenneth Lefler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932162856 PECOS PAC ID: 6901849322 Enrollment ID: I20050607000683 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20051017000946 |
| Provider Name | William S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013945278 PECOS PAC ID: 6901809383 Enrollment ID: I20060825000141 |
| Provider Name | Harshad S Bokil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134120231 PECOS PAC ID: 5799781977 Enrollment ID: I20061011000319 |
| Provider Name | Mary Joan Mccleary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174661128 PECOS PAC ID: 1456454560 Enrollment ID: I20070309000535 |
| Provider Name | Ajay Virmani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871559773 PECOS PAC ID: 5597792671 Enrollment ID: I20071116000144 |
| Provider Name | Lois M Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033304746 PECOS PAC ID: 1052491941 Enrollment ID: I20080104000271 |
| Provider Name | Peter Baltusnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598962193 PECOS PAC ID: 0244396976 Enrollment ID: I20090305000000 |
| Provider Name | Michael Lee Ferrebee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649352451 PECOS PAC ID: 3971642091 Enrollment ID: I20091203000246 |
| Provider Name | Kristine S Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639354079 PECOS PAC ID: 2668548041 Enrollment ID: I20091215000716 |
| Provider Name | Charles K Kirkland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578540001 PECOS PAC ID: 9032251368 Enrollment ID: I20100125000156 |
| Provider Name | Rabie H Zalzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487643391 PECOS PAC ID: 7315071370 Enrollment ID: I20100813000128 |
| Provider Name | Susan E Bobes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790762383 PECOS PAC ID: 9537203179 Enrollment ID: I20100816001100 |
| Provider Name | Thomas Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407028707 PECOS PAC ID: 0648469676 Enrollment ID: I20110106000690 |
| Provider Name | Kimberly Foley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518234814 PECOS PAC ID: 6406014612 Enrollment ID: I20120220000609 |
| Provider Name | Patricia A Ammar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902177298 PECOS PAC ID: 3072771773 Enrollment ID: I20120227000854 |
| Provider Name | Erin L Setzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578881165 PECOS PAC ID: 2365687399 Enrollment ID: I20130322000381 |
| Provider Name | Lindsey M Staggers-gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841545506 PECOS PAC ID: 8527204767 Enrollment ID: I20130415000145 |
| Provider Name | Margaret A Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396732129 PECOS PAC ID: 2163599515 Enrollment ID: I20130508000298 |
| Provider Name | Rose Mary Barton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013352442 PECOS PAC ID: 0749414449 Enrollment ID: I20140206000725 |
| Provider Name | Michael Joseph Gould |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205182136 PECOS PAC ID: 1759505670 Enrollment ID: I20140617000211 |
| Provider Name | David Benjamin Deuell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730455924 PECOS PAC ID: 9830340686 Enrollment ID: I20140729001079 |
| Provider Name | Manish B Jhawar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710098488 PECOS PAC ID: 7810131307 Enrollment ID: I20140820001285 |
| Provider Name | Marie A Del Signore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013330729 PECOS PAC ID: 8820310337 Enrollment ID: I20141210002569 |
| Provider Name | Martie J Helmick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426731 PECOS PAC ID: 4082937784 Enrollment ID: I20150105002072 |
| Provider Name | Justine A Pagenhardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346506524 PECOS PAC ID: 2769706563 Enrollment ID: I20150127002171 |
| Provider Name | Diana L Niland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639574361 PECOS PAC ID: 5092032235 Enrollment ID: I20150326001395 |
| Provider Name | Runa Bhattacharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093892762 PECOS PAC ID: 0446419444 Enrollment ID: I20150515001324 |
| Provider Name | Stuart Godwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447512629 PECOS PAC ID: 1759690159 Enrollment ID: I20151027000148 |
| Provider Name | David C Plitt |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144423740 PECOS PAC ID: 5092909671 Enrollment ID: I20151110003146 |
| Provider Name | Kellon S Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588902340 PECOS PAC ID: 0345486536 Enrollment ID: I20160108002312 |
| 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 | Rebekah J Haywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942672704 PECOS PAC ID: 3072813492 Enrollment ID: I20170314001250 |
| Provider Name | Levi Wichterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992229496 PECOS PAC ID: 5799058335 Enrollment ID: I20170902000015 |
| Provider Name | Rhea L See |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974451 PECOS PAC ID: 0749546992 Enrollment ID: I20171104000151 |
| Provider Name | Sudarshan Balla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316100258 PECOS PAC ID: 6204061799 Enrollment ID: I20180309000676 |
| Provider Name | Peter Louis Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174919914 PECOS PAC ID: 1456653765 Enrollment ID: I20180815000941 |
| Provider Name | Michael Vernon Horner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821483256 PECOS PAC ID: 5799088399 Enrollment ID: I20180823002928 |
| Provider Name | Terrie L Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265928162 PECOS PAC ID: 0446502587 Enrollment ID: I20181017003080 |
| Provider Name | Leah B Knaggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726595 PECOS PAC ID: 1456604198 Enrollment ID: I20181029000082 |
| Provider Name | Preston Woodburn-camp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992299655 PECOS PAC ID: 1355698812 Enrollment ID: I20181119001195 |
| Provider Name | Jason B Van Antwerp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811379563 PECOS PAC ID: 6103130281 Enrollment ID: I20181204001324 |
| Provider Name | Kevin J Shannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881697894 PECOS PAC ID: 5698078814 Enrollment ID: I20181211001106 |
| Provider Name | Anthony Francis Steratore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346604030 PECOS PAC ID: 9537458922 Enrollment ID: I20190103000971 |
| Provider Name | Imad Ahmado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427068162 PECOS PAC ID: 9436100823 Enrollment ID: I20190320002518 |
| Provider Name | Kelly Sue Mckenzie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750312633 PECOS PAC ID: 3274700307 Enrollment ID: I20190401001863 |
| Provider Name | Katrina Ann Opel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174013411 PECOS PAC ID: 0244571446 Enrollment ID: I20190501000296 |
| Provider Name | Michelle Angeline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194266502 PECOS PAC ID: 7719256742 Enrollment ID: I20190807001529 |
| Provider Name | Brad Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376103549 PECOS PAC ID: 5799013249 Enrollment ID: I20190822001190 |
| Provider Name | Jodie Holstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205480431 PECOS PAC ID: 6103157573 Enrollment ID: I20191016001379 |
| Provider Name | Joseph Hansroth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841731114 PECOS PAC ID: 6901141266 Enrollment ID: I20191024000040 |
| Provider Name | Brandon Daniel Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003347576 PECOS PAC ID: 1557630134 Enrollment ID: I20191119000826 |
| Provider Name | Edward Michael Zagula |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811992258 PECOS PAC ID: 6305938994 Enrollment ID: I20191211001378 |
| Provider Name | Kimberly Ann Judy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912540725 PECOS PAC ID: 7012341589 Enrollment ID: I20191217001393 |
| Provider Name | Shannon Rae Sprenkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013384072 PECOS PAC ID: 9638488547 Enrollment ID: I20200214000605 |
| Provider Name | Boyd Sprenkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306808159 PECOS PAC ID: 4183715352 Enrollment ID: I20200306000168 |
| Provider Name | Alan Michael Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144602665 PECOS PAC ID: 4284059528 Enrollment ID: I20200804002827 |
| Provider Name | Payam Fallahi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457516544 PECOS PAC ID: 7315070646 Enrollment ID: I20200824002252 |
| Provider Name | Cody Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003279456 PECOS PAC ID: 0042637555 Enrollment ID: I20200828002266 |
| Provider Name | Khola Tahir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1891051082 PECOS PAC ID: 3476866948 Enrollment ID: I20200921003066 |
| Provider Name | Hamed Vahedikafshgari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902315989 PECOS PAC ID: 7012327794 Enrollment ID: I20201109001475 |
| Provider Name | Tina Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637945 PECOS PAC ID: 8426469297 Enrollment ID: I20201130001791 |
| Provider Name | Teresa Diann Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972192136 PECOS PAC ID: 1153737135 Enrollment ID: I20210317001846 |
| Provider Name | Jesus Lemus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700070299 PECOS PAC ID: 0648301408 Enrollment ID: I20210318002956 |
| Provider Name | Robin A Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196077 PECOS PAC ID: 5193124246 Enrollment ID: I20210524000761 |
| Provider Name | Ashton L Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386167302 PECOS PAC ID: 8820364417 Enrollment ID: I20210707000371 |
| Provider Name | Garrick Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427555648 PECOS PAC ID: 6305197351 Enrollment ID: I20210831000028 |
| Provider Name | Carol Lea Wright Becker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437440609 PECOS PAC ID: 9638482458 Enrollment ID: I20211105001647 |
| Provider Name | Krystal M Abucevicz-swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750867362 PECOS PAC ID: 5496008815 Enrollment ID: I20220106001579 |
| Provider Name | Safdar Ali Akbar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508027434 PECOS PAC ID: 9830255462 Enrollment ID: I20220120002734 |
| Provider Name | Christopher D Fratz-orr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578133567 PECOS PAC ID: 4082000906 Enrollment ID: I20220401000900 |
| Provider Name | Sarah Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659961019 PECOS PAC ID: 6800298605 Enrollment ID: I20220503001795 |
| Provider Name | Catherine Ann Kirbos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649739517 PECOS PAC ID: 3678954237 Enrollment ID: I20220714000802 |
| Provider Name | Sherif A Dabash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750820734 PECOS PAC ID: 2668724550 Enrollment ID: I20220804000590 |
| Provider Name | Justin Tyler Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093442220 PECOS PAC ID: 0143696567 Enrollment ID: I20221026000552 |
| Provider Name | Jacob Mullan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023694197 PECOS PAC ID: 3375946494 Enrollment ID: I20230126000692 |
| Provider Name | Kaylene Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053076315 PECOS PAC ID: 2163813627 Enrollment ID: I20230216000545 |
| Provider Name | Eugenia Artice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609585371 PECOS PAC ID: 0547641177 Enrollment ID: I20230317001770 |
| Provider Name | Sarah Elizabeth Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285364935 PECOS PAC ID: 5799159489 Enrollment ID: I20230320002949 |
| Provider Name | Ruby Havistin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477999159 PECOS PAC ID: 0446556898 Enrollment ID: I20230427002746 |
| Provider Name | Nicholas Overton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725803 PECOS PAC ID: 9830557446 Enrollment ID: I20230614000556 |
| Provider Name | Marjorie S Fridkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427129840 PECOS PAC ID: 2062435795 Enrollment ID: I20230620002166 |
| Provider Name | Azza F Alalwee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730530015 PECOS PAC ID: 5698000768 Enrollment ID: I20230726003938 |
| Provider Name | Gabriel Elia Yacob |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003107285 PECOS PAC ID: 1759523038 Enrollment ID: I20230807003904 |
| Provider Name | Renee Ann Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891481149 PECOS PAC ID: 5698136430 Enrollment ID: I20230817000184 |
| Provider Name | Lynda Dougherty |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1376534149 PECOS PAC ID: 6103005756 Enrollment ID: I20230822003470 |
| Provider Name | Robert Wallace Williams Biederman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912907734 PECOS PAC ID: 4284728189 Enrollment ID: I20230922003739 |
| Provider Name | Rida Laeeq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508244930 PECOS PAC ID: 6103177522 Enrollment ID: I20231025000418 |
| Provider Name | Ashley Elizabeth Foreman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558947630 PECOS PAC ID: 6002262656 Enrollment ID: I20231102001035 |
| Provider Name | Charles Anderson Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235716366 PECOS PAC ID: 6305297698 Enrollment ID: I20240111001070 |
| Provider Name | Austin Minnich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912583923 PECOS PAC ID: 0244682334 Enrollment ID: I20240112004022 |
| Provider Name | Philip Anthony Basala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558376137 PECOS PAC ID: 7517035900 Enrollment ID: I20240126002571 |
| Provider Name | Aida Tafreshi Hosseini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629853718 PECOS PAC ID: 0941643266 Enrollment ID: I20240202003740 |
| Provider Name | Manuel A Falcon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154656049 PECOS PAC ID: 8325187693 Enrollment ID: I20240304000773 |
| Provider Name | Laura Voges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871179838 PECOS PAC ID: 1759720279 Enrollment ID: I20240417001385 |
| Provider Name | Juan Quintana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033134747 PECOS PAC ID: 2769461235 Enrollment ID: I20240417001696 |
| Provider Name | Lakshmi Muthukumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538315221 PECOS PAC ID: 1759442924 Enrollment ID: I20240425000418 |
| Provider Name | Meaghan L Kebler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548821580 PECOS PAC ID: 4284061110 Enrollment ID: I20240425003919 |
| Provider Name | Alexandra Kae Lawler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861051112 PECOS PAC ID: 6204163991 Enrollment ID: I20240426002358 |
| Provider Name | Christopher Anthony Santos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992203152 PECOS PAC ID: 8921369349 Enrollment ID: I20240514004386 |
| Provider Name | David Maxwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639765738 PECOS PAC ID: 6507279338 Enrollment ID: I20240515000605 |
| Provider Name | Susan Kay Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359981 PECOS PAC ID: 8325308968 Enrollment ID: I20240529000744 |
| Provider Name | David Bittner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003493289 PECOS PAC ID: 1153764394 Enrollment ID: I20240718000651 |
| Provider Name | Mirza S Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20240723001073 |
| Provider Name | Jacqueline Elizabeth Sippel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821591827 PECOS PAC ID: 3779029061 Enrollment ID: I20240723002411 |
| Provider Name | Samuel Prasad Pilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285261081 PECOS PAC ID: 8426595471 Enrollment ID: I20240807004757 |
| Provider Name | Laura Murphy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073503256 PECOS PAC ID: 0042214801 Enrollment ID: I20240909001646 |
| Provider Name | Austin Mcdonald |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053060947 PECOS PAC ID: 5294276002 Enrollment ID: I20240920000037 |
| Provider Name | Miranda Lynne Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215784152 PECOS PAC ID: 4981138203 Enrollment ID: I20241108003483 |
| Provider Name | Ali Cadili |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871086868 PECOS PAC ID: 1052658655 Enrollment ID: I20241111003694 |
| Provider Name | Aster Berhane |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528276003 PECOS PAC ID: 4981838208 Enrollment ID: I20241119001621 |
| Provider Name | Frank Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245998921 PECOS PAC ID: 4587056825 Enrollment ID: I20241202002250 |
| Provider Name | Emily L Solow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003811498 PECOS PAC ID: 4183680606 Enrollment ID: I20241205000957 |
| Provider Name | Ryan Ferreira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063781292 PECOS PAC ID: 7315106242 Enrollment ID: I20241210002415 |
| Provider Name | Levi Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982287686 PECOS PAC ID: 5193128247 Enrollment ID: I20241211000834 |
| Provider Name | Christopher M Shahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588999569 PECOS PAC ID: 4688718570 Enrollment ID: I20241211002197 |
| Provider Name | Gregory Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093207060 PECOS PAC ID: 6608108287 Enrollment ID: I20241214000279 |
| Provider Name | Jesse J Rivera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699812230 PECOS PAC ID: 8426366923 Enrollment ID: I20241217001970 |
| Provider Name | Omid Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235361007 PECOS PAC ID: 0446401905 Enrollment ID: I20250228000449 |
| Provider Name | Steven Silverman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407950694 PECOS PAC ID: 3476550054 Enrollment ID: I20250306002552 |
| Provider Name | Alper Cesmebasi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447633516 PECOS PAC ID: 0840661393 Enrollment ID: I20250314003174 |
| Provider Name | Joanne Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033831706 PECOS PAC ID: 6608398276 Enrollment ID: I20250324002514 |
| Provider Name | Peter G Topis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225480064 PECOS PAC ID: 6002159902 Enrollment ID: I20250410001718 |
| Provider Name | Kimberly Brandtonies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871557264 PECOS PAC ID: 4789637083 Enrollment ID: I20250414000244 |
| Provider Name | Richard A Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184646341 PECOS PAC ID: 0648230052 Enrollment ID: I20250424002149 |
| Provider Name | Noah Poznanski |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710548177 PECOS PAC ID: 5395126007 Enrollment ID: I20250512002875 |
Potomac Valley Hospital Of W Va , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 New Creek Hwy Ste 2, Keyser, WV 26726 Phone: 304-597-3577 | |
Potomac Valley Hospital Of Wv, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Carskadon Ln, Keyser, WV 26726 Phone: 304-788-6655 Fax: 304-788-6082 | |
Potomac Valley Hospital Of W Va , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 S Mineral St, Keyser, WV 26726 Phone: 304-788-1274 Fax: 304-788-5154 | |
Potomac Valley Hospital Of W Va , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Plaza Dr, Keyser, WV 26726 Phone: 304-597-3774 | |
Potomac Valley Hospital Of W Va , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 Harley O Staggers Dr, Keyser, WV 26726 Phone: 304-597-3790 | |
Potomac Valley Hospital Of W Va , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 879 Harley O Staggers Dr, Keyser, WV 26726 Phone: 304-597-3790 |