| Ronceverte Physician Group Llc | |
|
202 Maplewood Ave Ronceverte WV 24970-1334 | |
| (304) 647-4411 | |
| Not Available |
| Full Name | Ronceverte Physician Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 Maplewood Ave, Ronceverte, West Virginia |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronceverte Physician Group Llc 7100 Commerce Way Suite 180 Brentwood TN 37027-2851 Ph: (877) 892-9813 | Ronceverte Physician Group Llc 202 Maplewood Ave Ronceverte WV 24970-1334 Ph: (304) 647-4411 |
| NPI Number | 1306170048 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 01/19/2010 |
| Medicare PECOS PAC ID | 3072652767 |
|---|---|
| Medicare Enrollment ID | O20091210000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306170048 | NPI | - | NPPES |
| 3810016362 | Medicaid | WV |
| Provider Name | Heather Marie Clawges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316027410 PECOS PAC ID: 4486629565 Enrollment ID: I20040901000232 |
| Provider Name | Kyle Fredrick Fort |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578559696 PECOS PAC ID: 4183526155 Enrollment ID: I20041001000389 |
| Provider Name | Jefferson Patrick Casto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134133796 PECOS PAC ID: 0446272314 Enrollment ID: I20051221000047 |
| Provider Name | Kathy Hamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154312452 PECOS PAC ID: 4082603204 Enrollment ID: I20060925000014 |
| Provider Name | Christopher L White |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306817689 PECOS PAC ID: 2567493729 Enrollment ID: I20070110000029 |
| Provider Name | Crystal R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376712893 PECOS PAC ID: 7810073285 Enrollment ID: I20080326000008 |
| Provider Name | Patrick Thomas Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114040516 PECOS PAC ID: 8224101373 Enrollment ID: I20080722000687 |
| Provider Name | Zainab Shamma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164455101 PECOS PAC ID: 3678609948 Enrollment ID: I20100326000238 |
| Provider Name | Robert Emmett Pollard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952341158 PECOS PAC ID: 2163311663 Enrollment ID: I20100728000271 |
| Provider Name | Joseph Mouchizadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225024342 PECOS PAC ID: 8628166642 Enrollment ID: I20100921000942 |
| Provider Name | Emily Griffith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114221934 PECOS PAC ID: 6406081645 Enrollment ID: I20131024001259 |
| Provider Name | Ashley Rapp Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770726242 PECOS PAC ID: 8527289693 Enrollment ID: I20141015001468 |
| Provider Name | Anjlee Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629239520 PECOS PAC ID: 0547577868 Enrollment ID: I20150919000032 |
| Provider Name | Azim Saquib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023096096 PECOS PAC ID: 6204841877 Enrollment ID: I20180719001618 |
| Provider Name | Aimee M Barton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750397972 PECOS PAC ID: 8820097462 Enrollment ID: I20200317000385 |
| Provider Name | Jessica Daigle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922397413 PECOS PAC ID: 3375849003 Enrollment ID: I20200526002070 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20200616001454 |
| Provider Name | Scott Furer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295197218 PECOS PAC ID: 7315275583 Enrollment ID: I20200817001855 |
| Provider Name | Letha Kristen Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114517281 PECOS PAC ID: 9739596461 Enrollment ID: I20210325001082 |
| Provider Name | Ali Salah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225056724 PECOS PAC ID: 8527169002 Enrollment ID: I20210503000026 |
| Provider Name | John Lawrence Losee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932138906 PECOS PAC ID: 2365495231 Enrollment ID: I20210707002871 |
| Provider Name | Jason Soto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538396460 PECOS PAC ID: 2466776687 Enrollment ID: I20210723000616 |
| Provider Name | Christi Hughart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407064413 PECOS PAC ID: 6901076132 Enrollment ID: I20210811001175 |
| Provider Name | Yoseph Shalev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821065467 PECOS PAC ID: 6507750429 Enrollment ID: I20220104001202 |
| Provider Name | Lori Dawn Gledhill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316971427 PECOS PAC ID: 8729087135 Enrollment ID: I20220121000569 |
| Provider Name | Carlos Moreyra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790854594 PECOS PAC ID: 7810178712 Enrollment ID: I20220218000511 |
Debra C Sams Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Maplewood Avenue, Ronceverte, WV 24970 Phone: 304-645-4406 | |
Rainelle Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 595 Spartan Lane, Route 1 B 150, Ronceverte, WV 24970 Phone: 304-645-1052 Fax: 304-645-1055 | |
Greenbrier Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 | |
Shirey & Shirey M C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17 Red Oaks Shopping Ctr, Ronceverte, WV 24970 Phone: 304-645-1117 Fax: 304-645-1148 | |
Greenbrier Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970 Phone: 304-647-4411 Fax: 304-647-6010 | |
Healthcare 360 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9016 Seneca Trail, Ronceverte, WV 24970 Phone: 681-318-3477 Fax: 681-318-3479 |