| Tygart Valley Professional Fees | |
|
1 Hospital Plz Grafton WV 26354-1283 | |
| (304) 265-7406 | |
| (304) 265-6419 |
| Full Name | Tygart Valley Professional Fees |
|---|---|
| Speciality | General Practice |
| Location | 1 Hospital Plz, Grafton, West Virginia |
| Authorized Official Name and Position | George Boyles (INTERIM CEO) |
| Authorized Official Contact | 3042657151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tygart Valley Professional Fees 1 Hospital Plz Grafton WV 26354-1283 Ph: (304) 265-7406 | Tygart Valley Professional Fees 1 Hospital Plz Grafton WV 26354-1283 Ph: (304) 265-7406 |
| NPI Number | 1033264387 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 01/03/2020 |
| Medicare PECOS PAC ID | 7719897263 |
|---|---|
| Medicare Enrollment ID | O20040513000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033264387 | NPI | - | NPPES |
| 3330106001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Thomas Flemin Wilshire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033167630 PECOS PAC ID: 7810936382 Enrollment ID: I20050426000282 |
| Provider Name | Teresa L Harriman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629037312 PECOS PAC ID: 8325075195 Enrollment ID: I20050722000800 |
| Provider Name | Jeffrey B Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184715880 PECOS PAC ID: 6608954391 Enrollment ID: I20080422000153 |
| Provider Name | Teresa M Olivo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912238775 PECOS PAC ID: 7012051212 Enrollment ID: I20100225000177 |
| Provider Name | David Bender |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891892626 PECOS PAC ID: 5799829941 Enrollment ID: I20100225000641 |
| Provider Name | Jennifer G Shreves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356451702 PECOS PAC ID: 7012052525 Enrollment ID: I20100309000459 |
| Provider Name | Joseph Hugo Duvert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700984473 PECOS PAC ID: 7214979756 Enrollment ID: I20100324000276 |
| Provider Name | David A Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225062631 PECOS PAC ID: 8820114200 Enrollment ID: I20100922000916 |
| Provider Name | Song Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073763454 PECOS PAC ID: 0244402725 Enrollment ID: I20111005000155 |
| Provider Name | Ryan Wakim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093033789 PECOS PAC ID: 3375702731 Enrollment ID: I20120306000019 |
| Provider Name | Amelia Karen Adcock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497982623 PECOS PAC ID: 5698915270 Enrollment ID: I20131028001149 |
| Provider Name | Justin M Spratt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396974044 PECOS PAC ID: 4183853047 Enrollment ID: I20140925001719 |
| Provider Name | Jeanette D Woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861813412 PECOS PAC ID: 8628390861 Enrollment ID: I20141125001739 |
| Provider Name | Heather Dawn Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396128047 PECOS PAC ID: 9335455880 Enrollment ID: I20150831000343 |
| Provider Name | Muhammad Alvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629396478 PECOS PAC ID: 7810133543 Enrollment ID: I20151027002893 |
| Provider Name | Thomas Matthew Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659719698 PECOS PAC ID: 6204067747 Enrollment ID: I20151118002873 |
| Provider Name | Samantha Jane Crites |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679898290 PECOS PAC ID: 7810299633 Enrollment ID: I20160111000799 |
| Provider Name | Umer Najib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144512880 PECOS PAC ID: 9830497239 Enrollment ID: I20160419001328 |
| Provider Name | Ann Murray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194081968 PECOS PAC ID: 3274835921 Enrollment ID: I20160627000701 |
| Provider Name | Theodore Lawrence Katner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922233600 PECOS PAC ID: 2466673785 Enrollment ID: I20161025001903 |
| Provider Name | Andrew Berardinelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730591124 PECOS PAC ID: 4981821634 Enrollment ID: I20170929002054 |
| Provider Name | Vincent Schieffer Linberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033592654 PECOS PAC ID: 1456655968 Enrollment ID: I20171117002464 |
| Provider Name | Amy Elizabeth Gutshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750934816 PECOS PAC ID: 4082942271 Enrollment ID: I20190827000055 |
| Provider Name | Steven Gregory Mclaughlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558353185 PECOS PAC ID: 9537144365 Enrollment ID: I20210301002190 |
| Provider Name | Amber Rose Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457916405 PECOS PAC ID: 7012399850 Enrollment ID: I20220727000055 |
| Provider Name | Clara Renee Larew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376263483 PECOS PAC ID: 1254708233 Enrollment ID: I20221103002035 |
| Provider Name | Ahmad Zamzam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558853705 PECOS PAC ID: 4880949056 Enrollment ID: I20230907003807 |
Tygart Valley Total Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Market St, Grafton, WV 26354 Phone: 304-265-0400 Fax: 304-265-6417 | |
Dental Center Of Taylor County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 N Pike St, Grafton, WV 26354 Phone: 304-265-4600 Fax: 304-265-6008 | |
Medical Center Of Taylor Co. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Pike St, Grafton, WV 26354 Phone: 304-265-4909 Fax: 304-265-4916 | |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 North Pike Street, Grafton, WV 26354 Phone: 304-265-0312 Fax: 304-265-0314 | |
R Legacy Inv Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4706 Knottsville Rd, Grafton, WV 26354 Phone: 304-265-2874 | |
Preston Taylor Community Health Centers, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Lincoln St, Grafton, WV 26354 Phone: 304-265-1851 Fax: 304-265-0028 |