| Hospital Development Co | |
|
1 Library Ln Left Hand WV 25251-9745 | |
| (304) 927-6819 | |
| (304) 927-6837 |
| Full Name | Hospital Development Co |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Library Ln, Left Hand, West Virginia |
| Authorized Official Name and Position | Doug Bentz (CEO) |
| Authorized Official Contact | 3049276200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Development Co 200 Hospital Dr Spencer WV 25276-1050 Ph: (304) 927-6819 | Hospital Development Co 1 Library Ln Left Hand WV 25251-9745 Ph: (304) 927-6819 |
| NPI Number | 1790745677 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 11/08/2010 |
| Medicare PECOS PAC ID | 4183527476 |
|---|---|
| Medicare Enrollment ID | O20040406000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790745677 | NPI | - | NPPES |
| 3810004237 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 74 (West Virginia) | Primary |
| Provider Name | Scott P Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306943741 PECOS PAC ID: 6103727375 Enrollment ID: I20040120000402 |
| Provider Name | Michelle L Stotts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225079544 PECOS PAC ID: 5294626966 Enrollment ID: I20040323000110 |
| Provider Name | Richard Graham Bowman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1700810603 PECOS PAC ID: 9830189349 Enrollment ID: I20040517000479 |
| Provider Name | Tamejiro Takubo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841218872 PECOS PAC ID: 5991795197 Enrollment ID: I20040518000252 |
| Provider Name | Thomas Rittinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639242381 PECOS PAC ID: 2466351127 Enrollment ID: I20040527001063 |
| Provider Name | Milton Julio Plata |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871639419 PECOS PAC ID: 9638151566 Enrollment ID: I20040604000017 |
| Provider Name | Christopher Ned Lambert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710964069 PECOS PAC ID: 5395638753 Enrollment ID: I20040825001219 |
| Provider Name | Daniel Woodyard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154318962 PECOS PAC ID: 5294703948 Enrollment ID: I20040921000003 |
| Provider Name | Keitina G Donahue-lunsford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053336420 PECOS PAC ID: 6406817543 Enrollment ID: I20041022000255 |
| Provider Name | Ronald Brownfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730125766 PECOS PAC ID: 6507829769 Enrollment ID: I20041109000174 |
| Provider Name | Roger Vernon Cruse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831133578 PECOS PAC ID: 7517910409 Enrollment ID: I20050303000160 |
| Provider Name | Michael G Sitler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942262282 PECOS PAC ID: 5193779254 Enrollment ID: I20050310000970 |
| Provider Name | Grant Stephen Parkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598769424 PECOS PAC ID: 3577503077 Enrollment ID: I20050504000443 |
| Provider Name | Brent E Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447212790 PECOS PAC ID: 4183659048 Enrollment ID: I20050929000007 |
| Provider Name | Karunasree Kanuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174612907 PECOS PAC ID: 8820034028 Enrollment ID: I20051102000164 |
| Provider Name | Robby L Keith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497781082 PECOS PAC ID: 6305865858 Enrollment ID: I20051115000176 |
| Provider Name | Ginger M Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902866866 PECOS PAC ID: 0941204630 Enrollment ID: I20060912000251 |
| Provider Name | Mohammad Imani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134183643 PECOS PAC ID: 8325043284 Enrollment ID: I20060927000349 |
| Provider Name | Gregory B Krivchenia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467410258 PECOS PAC ID: 0547156945 Enrollment ID: I20061012000376 |
| Provider Name | Shelly Willham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578576807 PECOS PAC ID: 6507863545 Enrollment ID: I20061103000352 |
| Provider Name | Mary B Taylor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386790772 PECOS PAC ID: 5799884599 Enrollment ID: I20070620000004 |
| Provider Name | Kevin Lee Eggleston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720200744 PECOS PAC ID: 7113028648 Enrollment ID: I20070727000044 |
| Provider Name | Howard K Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568420982 PECOS PAC ID: 9032200506 Enrollment ID: I20070813000508 |
| Provider Name | Connie S Woodyard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740471796 PECOS PAC ID: 2264524263 Enrollment ID: I20070822001000 |
| Provider Name | Earl Michael Famularcano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407074867 PECOS PAC ID: 1355437997 Enrollment ID: I20071012000429 |
| Provider Name | John M Cline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578698205 PECOS PAC ID: 4082781695 Enrollment ID: I20080924000271 |
| Provider Name | Kerri Greer Donahue |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770605891 PECOS PAC ID: 0042378697 Enrollment ID: I20081025000179 |
| Provider Name | Lou B Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457530289 PECOS PAC ID: 4284789066 Enrollment ID: I20090831000259 |
| Provider Name | Agnes A Enrico-simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003910670 PECOS PAC ID: 3870526007 Enrollment ID: I20100713000277 |
| Provider Name | Stephen E Groves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609968502 PECOS PAC ID: 2668403718 Enrollment ID: I20100803000751 |
| Provider Name | William Alexander Wade |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003029075 PECOS PAC ID: 9739205709 Enrollment ID: I20100927001476 |
| Provider Name | Brett K Radow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154315992 PECOS PAC ID: 5799979779 Enrollment ID: I20101103001072 |
| Provider Name | Lesley A Waskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831405646 PECOS PAC ID: 5395934632 Enrollment ID: I20110118000775 |
| Provider Name | Hong-kin Ng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629026802 PECOS PAC ID: 9739368937 Enrollment ID: I20110120000071 |
| Provider Name | Shawn D Reinert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205000882 PECOS PAC ID: 8628248382 Enrollment ID: I20110907001191 |
| Provider Name | Michael P Iannetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396949889 PECOS PAC ID: 0547455784 Enrollment ID: I20120503000164 |
| Provider Name | Jason L Gessel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861672669 PECOS PAC ID: 4688837834 Enrollment ID: I20120621000359 |
| Provider Name | Raghavendra Mulinti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518198761 PECOS PAC ID: 2961642756 Enrollment ID: I20130627000506 |
| Provider Name | Dodi L Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811147036 PECOS PAC ID: 0648327502 Enrollment ID: I20130805000598 |
| Provider Name | Phillip D Cox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629262944 PECOS PAC ID: 0446491906 Enrollment ID: I20131015001308 |
| Provider Name | Adalgiza E Costa Moron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962723239 PECOS PAC ID: 8224211180 Enrollment ID: I20140418000150 |
| Provider Name | Jonathan Michael White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538452438 PECOS PAC ID: 4284850843 Enrollment ID: I20140717001396 |
| Provider Name | Ryan Waddell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528232683 PECOS PAC ID: 5092945345 Enrollment ID: I20141001002538 |
| Provider Name | Roselyne Murugu Knopf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033406715 PECOS PAC ID: 7618199480 Enrollment ID: I20141111000846 |
| Provider Name | Jonathan A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063770014 PECOS PAC ID: 7012156227 Enrollment ID: I20150414002641 |
| Provider Name | Sarah A Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764918 PECOS PAC ID: 1153641873 Enrollment ID: I20150520002710 |
| Provider Name | James D Perry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679893036 PECOS PAC ID: 9133368491 Enrollment ID: I20160603000998 |
| Provider Name | Tiffany Diane Dutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013320118 PECOS PAC ID: 2163649625 Enrollment ID: I20160725000060 |
| Provider Name | Erik Zachary Meadows |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417308891 PECOS PAC ID: 9032486980 Enrollment ID: I20170524001043 |
| Provider Name | Matthew Allen Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720502347 PECOS PAC ID: 4880967421 Enrollment ID: I20170902000010 |
| Provider Name | Leann Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902344112 PECOS PAC ID: 2163791112 Enrollment ID: I20171013000551 |
| Provider Name | Roger S. Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053721167 PECOS PAC ID: 1456579754 Enrollment ID: I20180816001833 |
| Provider Name | Sarah Beth Royer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073092607 PECOS PAC ID: 4284979113 Enrollment ID: I20190118001626 |
| Provider Name | Sumaira Shafi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164859278 PECOS PAC ID: 4587992474 Enrollment ID: I20190830001426 |
| Provider Name | Julio C Galindo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508144064 PECOS PAC ID: 8820239601 Enrollment ID: I20191112001495 |
| Provider Name | Sarah J. Rinehart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740494087 PECOS PAC ID: 0840368189 Enrollment ID: I20200715003569 |
| Provider Name | Teresa Michaelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871957290 PECOS PAC ID: 3577897164 Enrollment ID: I20200824000315 |
| Provider Name | Brandon Scott Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346744281 PECOS PAC ID: 2668724709 Enrollment ID: I20201211000854 |
| Provider Name | Phillip Prusack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073043378 PECOS PAC ID: 2860822053 Enrollment ID: I20210127000598 |
| Provider Name | Caitlyn M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588255483 PECOS PAC ID: 1759798150 Enrollment ID: I20210331002877 |
| Provider Name | Mark Christiopher Plumby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518344092 PECOS PAC ID: 5395047187 Enrollment ID: I20210621002290 |
| Provider Name | Ethan Mclean Westbrook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124514054 PECOS PAC ID: 2860741345 Enrollment ID: I20210813002928 |
| Provider Name | Elena Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366563249 PECOS PAC ID: 5698824522 Enrollment ID: I20211116001171 |
| Provider Name | Carrie L Mckown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023785052 PECOS PAC ID: 8628468345 Enrollment ID: I20211210001598 |
| Provider Name | Sabir Hussain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902441173 PECOS PAC ID: 6002242757 Enrollment ID: I20220512000538 |
| Provider Name | Zachary Michael Grimes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194173823 PECOS PAC ID: 8729324843 Enrollment ID: I20220701001697 |
| Provider Name | Krishna Kishore Umapathi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962854737 PECOS PAC ID: 9436438132 Enrollment ID: I20220726000543 |
| Provider Name | Adam Christopher Domico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366806481 PECOS PAC ID: 4385044155 Enrollment ID: I20220818002879 |
| Provider Name | Keith E Leap |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003884503 PECOS PAC ID: 1658538053 Enrollment ID: I20231005001914 |
| Provider Name | Kanan Hamed Hudhud |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528069226 PECOS PAC ID: 3678465135 Enrollment ID: I20231108004063 |
| Provider Name | Kelley N Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306084728 PECOS PAC ID: 7810117363 Enrollment ID: I20231117001416 |
| Provider Name | Terrence E Goyke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184660136 PECOS PAC ID: 6901865906 Enrollment ID: I20240215003233 |
| Provider Name | Terra D Keen-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376316927 PECOS PAC ID: 0648615591 Enrollment ID: I20240229004385 |
| Provider Name | Adrien J Brutus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740634963 PECOS PAC ID: 5496048597 Enrollment ID: I20240417002428 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811540800 PECOS PAC ID: 5991126401 Enrollment ID: I20240503001574 |
| Provider Name | Michel Bidros |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609036227 PECOS PAC ID: 1759459969 Enrollment ID: I20241024004607 |
| Provider Name | Mousa Dajjani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336723758 PECOS PAC ID: 0648673269 Enrollment ID: I20241105003423 |
| Provider Name | Olusola Olubowale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962923805 PECOS PAC ID: 9638593031 Enrollment ID: I20250421001264 |