| Smoky Mountain Emergency Services, Inc. | |
|
1 Pavilion Dr Daniels WV 25832-9705 | |
| (304) 763-2888 | |
| Not Available |
| Full Name | Smoky Mountain Emergency Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Pavilion Dr, Daniels, West Virginia |
| Authorized Official Name and Position | Randal L Dabbs (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Mountain Emergency Services, Inc. Po Box 634711 Cincinnati OH 45263-4711 | Smoky Mountain Emergency Services, Inc. 1 Pavilion Dr Daniels WV 25832-9705 Ph: (304) 763-2888 |
| NPI Number | 1275551731 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/22/2007 |
| Medicare PECOS PAC ID | 1951373067 |
|---|---|
| Medicare Enrollment ID | O20050824000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275551731 | NPI | - | NPPES |
| 4005133000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| Provider Name | Robert Wynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972546794 PECOS PAC ID: 8729040977 Enrollment ID: I20041029000716 |
| Provider Name | Melinda R Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174621882 PECOS PAC ID: 9335108638 Enrollment ID: I20070412000557 |
| Provider Name | Kevin R Garneau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306890884 PECOS PAC ID: 9335145556 Enrollment ID: I20080131000023 |
| Provider Name | Jessica Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508809815 PECOS PAC ID: 3072531912 Enrollment ID: I20080922000133 |
| Provider Name | Janet Mcguire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649338096 PECOS PAC ID: 6901086164 Enrollment ID: I20110207000182 |
| Provider Name | Dennis J Wert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922006006 PECOS PAC ID: 1254414113 Enrollment ID: I20111027000038 |
| Provider Name | Angela K Ropka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184729816 PECOS PAC ID: 5890691679 Enrollment ID: I20120615000591 |
| Provider Name | Misty Hunsader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154714632 PECOS PAC ID: 1052627973 Enrollment ID: I20150908002046 |
| Provider Name | Chelsea R May |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861845638 PECOS PAC ID: 0143509505 Enrollment ID: I20161108001443 |
| Provider Name | Gregory a Flury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760454235 PECOS PAC ID: 4486665577 Enrollment ID: I20170316000445 |
| Provider Name | Laura Bonner Minster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801333836 PECOS PAC ID: 0446527873 Enrollment ID: I20170606001448 |
| Provider Name | Heather J Barger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760906838 PECOS PAC ID: 2466728209 Enrollment ID: I20171024001484 |
| Provider Name | Cintia H Hultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598122749 PECOS PAC ID: 4981908852 Enrollment ID: I20171117002624 |
| Provider Name | Jordan R Digiovanni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174039366 PECOS PAC ID: 4183979503 Enrollment ID: I20180626000731 |
| Provider Name | Raafeh Waseem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134694516 PECOS PAC ID: 0648594275 Enrollment ID: I20190114000757 |
| Provider Name | Chase Emerson Duckwall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942758677 PECOS PAC ID: 2668751462 Enrollment ID: I20190306003375 |
| Provider Name | Cierra M Zeigler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053891689 PECOS PAC ID: 7810249463 Enrollment ID: I20200115002344 |
| Provider Name | Sarah G Liller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144794181 PECOS PAC ID: 7719316595 Enrollment ID: I20200330001837 |
| Provider Name | Khanh M Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235118365 PECOS PAC ID: 5092883413 Enrollment ID: I20200824003320 |
| Provider Name | Robin a Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196077 PECOS PAC ID: 5193124246 Enrollment ID: I20210524000761 |
| Provider Name | Matthew Mastiano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154953545 PECOS PAC ID: 2860801933 Enrollment ID: I20210813000485 |
| Provider Name | Halie Brooke Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679346274 PECOS PAC ID: 2466804596 Enrollment ID: I20240114000187 |
| Provider Name | Suenette Lynn Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255194361 PECOS PAC ID: 0446444244 Enrollment ID: I20240509001563 |
| Provider Name | Ronald Steven Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669218418 PECOS PAC ID: 8022269604 Enrollment ID: I20240822000036 |
Accesshealth Daniels Elementary School-based Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 351 4h Lake Rd, Daniels, WV 25832 Phone: 681-238-0644 |
Accesshealth Glade Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Lake Dr, Daniels, WV 25832 Phone: 304-253-2628 |
Access Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2157 Ritter Dr, Daniels, WV 25832 Phone: 304-763-4326 Fax: 304-763-4581 |
Prompt Care Plus, MC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1334 Ritter Dr, Unit 4, Daniels, WV 25832 Phone: 304-252-3711 Fax: 304-252-0721 |
Coal Country Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 C And O Dam Rd, Daniels, WV 25832 Phone: 304-763-0199 Fax: 304-763-2137 |