| East Mountain Health Physicians Inc. | |
|
1004 Sushruta Dr Suite D Martinsburg WV 25401-8802 | |
| (304) 262-2538 | |
| (304) 262-2583 |
| Full Name | East Mountain Health Physicians Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1004 Sushruta Dr, Martinsburg, West Virginia |
| Authorized Official Name and Position | Gerald J Bechamps (CEO) |
| Authorized Official Contact | 3048224933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Mountain Health Physicians Inc. 220 Campus Blvd Suite 200 Winchester VA 22601 Ph: (540) 536-5100 | East Mountain Health Physicians Inc. 1004 Sushruta Dr Suite D Martinsburg WV 25401-8802 Ph: (304) 262-2538 |
| NPI Number | 1114460797 |
|---|---|
| Provider Enumeration Date | 11/30/2016 |
| Last Update Date | 08/29/2017 |
| Medicare PECOS PAC ID | 9133405327 |
|---|---|
| Medicare Enrollment ID | O20170425001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114460797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | (West Virginia) | Primary |
| Provider Name | Joseph Felix Hashem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104859883 PECOS PAC ID: 5092615856 Enrollment ID: I20040210000864 |
| Provider Name | Stephanie D Gladden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730119447 PECOS PAC ID: 5496704819 Enrollment ID: I20050112000957 |
| Provider Name | Jason T Call |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528021862 PECOS PAC ID: 0244276558 Enrollment ID: I20050720000575 |
| Provider Name | Cherry B Lobaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265467112 PECOS PAC ID: 2365447075 Enrollment ID: I20061002000007 |
| Provider Name | Donna M Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669520722 PECOS PAC ID: 0244334902 Enrollment ID: I20070406000105 |
| Provider Name | Chris C Que |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669432043 PECOS PAC ID: 5496846248 Enrollment ID: I20070808000198 |
| Provider Name | Trisha B Nashed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124084041 PECOS PAC ID: 5991695363 Enrollment ID: I20071116000176 |
| Provider Name | James F Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760489900 PECOS PAC ID: 6709789944 Enrollment ID: I20080320000009 |
| Provider Name | Becky J Calhoun-harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298995 PECOS PAC ID: 4880770205 Enrollment ID: I20080326000380 |
| Provider Name | Tammy Grove Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801975248 PECOS PAC ID: 4183794282 Enrollment ID: I20080602000276 |
| Provider Name | Samuel D Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427092956 PECOS PAC ID: 8224006754 Enrollment ID: I20090206000613 |
| Provider Name | Neal Streater Gaither |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003811563 PECOS PAC ID: 4981507407 Enrollment ID: I20090722000001 |
| Provider Name | Philomela M Tabuena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467659102 PECOS PAC ID: 8729125760 Enrollment ID: I20091026000042 |
| Provider Name | James E Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528002698 PECOS PAC ID: 7517960313 Enrollment ID: I20100106000002 |
| Provider Name | Dewey F Bensenhaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386718484 PECOS PAC ID: 9436236213 Enrollment ID: I20100813000517 |
| Provider Name | Justin P Glassford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518164268 PECOS PAC ID: 0345364550 Enrollment ID: I20100825000173 |
| Provider Name | Joseph P Cincinnati |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881765766 PECOS PAC ID: 3971408568 Enrollment ID: I20101112001288 |
| Provider Name | Thomas E Knutson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083785901 PECOS PAC ID: 5294920161 Enrollment ID: I20101117000964 |
| Provider Name | James M Carrier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275500316 PECOS PAC ID: 5395646558 Enrollment ID: I20101129000644 |
| Provider Name | Troy Foster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669543567 PECOS PAC ID: 1153226733 Enrollment ID: I20101215000606 |
| Provider Name | Clydena J Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588979314 PECOS PAC ID: 5698963940 Enrollment ID: I20101230000623 |
| Provider Name | Christy J Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346301785 PECOS PAC ID: 3375645781 Enrollment ID: I20110405000687 |
| Provider Name | Julia Patricia Pickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184664831 PECOS PAC ID: 2668440199 Enrollment ID: I20120111000195 |
| Provider Name | Randolph H Renzi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275512550 PECOS PAC ID: 9931002458 Enrollment ID: I20120213000078 |
| Provider Name | Daniel Burton Reese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770562050 PECOS PAC ID: 7719057009 Enrollment ID: I20120215000612 |
| Provider Name | Jeffrey A Skiles |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114906542 PECOS PAC ID: 9537239827 Enrollment ID: I20120312000202 |
| Provider Name | David James Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770857542 PECOS PAC ID: 7911948690 Enrollment ID: I20120430000269 |
| Provider Name | John W Buschman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104998715 PECOS PAC ID: 5597927798 Enrollment ID: I20120504000376 |
| Provider Name | Allison K Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356518872 PECOS PAC ID: 6800836057 Enrollment ID: I20120529000140 |
| Provider Name | Nandita Subedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730411026 PECOS PAC ID: 0749435519 Enrollment ID: I20130617000295 |
| Provider Name | James D Brown |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255394649 PECOS PAC ID: 7315035938 Enrollment ID: I20130819000399 |
| Provider Name | Amber M Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962767996 PECOS PAC ID: 9436393121 Enrollment ID: I20130919000285 |
| Provider Name | Samuel Ryan Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043536899 PECOS PAC ID: 9830333095 Enrollment ID: I20131105000770 |
| Provider Name | Joseph W Poe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467448183 PECOS PAC ID: 3971587320 Enrollment ID: I20140512000070 |
| Provider Name | Jillian Lee Wilford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699063750 PECOS PAC ID: 6901128917 Enrollment ID: I20141202001821 |
| Provider Name | Brandy M Millay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548664360 PECOS PAC ID: 1658694336 Enrollment ID: I20150105001174 |
| Provider Name | Brandon J Barrett |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629283692 PECOS PAC ID: 7517142615 Enrollment ID: I20150408001207 |
| Provider Name | Gail Hedges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366862617 PECOS PAC ID: 8527379692 Enrollment ID: I20150616000628 |
| Provider Name | Lauren E Mongold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437526068 PECOS PAC ID: 2668773862 Enrollment ID: I20151211002452 |
| Provider Name | Omar Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972527059 PECOS PAC ID: 5799750626 Enrollment ID: I20160105000996 |
| Provider Name | Brenda L Hashem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073983813 PECOS PAC ID: 3870896392 Enrollment ID: I20160115002140 |
| Provider Name | Dena D Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407221518 PECOS PAC ID: 3173826245 Enrollment ID: I20160122001850 |
| Provider Name | Daniel V Alexander |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184841470 PECOS PAC ID: 2365610003 Enrollment ID: I20160218002564 |
| Provider Name | Leonard Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790744647 PECOS PAC ID: 1153459193 Enrollment ID: I20160506001905 |
| Provider Name | Anil Suwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851511422 PECOS PAC ID: 0749333243 Enrollment ID: I20160615001461 |
| Provider Name | Melanie D Mattson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609839091 PECOS PAC ID: 3779526264 Enrollment ID: I20160726001622 |
| Provider Name | Katherine Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821544222 PECOS PAC ID: 4284916594 Enrollment ID: I20170123000371 |
| Provider Name | Darah Kinzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629809 PECOS PAC ID: 1153689849 Enrollment ID: I20180102000501 |
| Provider Name | Jennifer Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548521800 PECOS PAC ID: 7012161151 Enrollment ID: I20180122000013 |
| Provider Name | Emmie Strassberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508177353 PECOS PAC ID: 7012218894 Enrollment ID: I20180125001518 |
| Provider Name | Angelina Musselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851780365 PECOS PAC ID: 2860713443 Enrollment ID: I20180209001452 |
| Provider Name | Elizabeth Catherine Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811419013 PECOS PAC ID: 1355601394 Enrollment ID: I20180212001791 |
| Provider Name | Mary Cathleen Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144233412 PECOS PAC ID: 8729247622 Enrollment ID: I20180228001721 |
| Provider Name | Heather Marie Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275075400 PECOS PAC ID: 0244510113 Enrollment ID: I20180228002910 |
| Provider Name | Patrick G Northcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982684676 PECOS PAC ID: 9931190592 Enrollment ID: I20180814000528 |
| Provider Name | Kevin Eugene Culbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942294129 PECOS PAC ID: 2264464114 Enrollment ID: I20181002002732 |
| Provider Name | Wayne J Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508244435 PECOS PAC ID: 3375845167 Enrollment ID: I20181016002984 |
| Provider Name | Eric Langdon Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926988 PECOS PAC ID: 6002177565 Enrollment ID: I20181127000318 |
| Provider Name | Caitlin Schultz Mcgreevy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790254829 PECOS PAC ID: 7012254519 Enrollment ID: I20190122002363 |
| Provider Name | Amanda L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821427493 PECOS PAC ID: 6709014780 Enrollment ID: I20190206003295 |
| Provider Name | Janice D Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407212541 PECOS PAC ID: 8224332200 Enrollment ID: I20190326002961 |
| Provider Name | Matthew Borkon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972650778 PECOS PAC ID: 8426297524 Enrollment ID: I20190410000009 |
| Provider Name | Jean L Bridwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104992965 PECOS PAC ID: 0446591929 Enrollment ID: I20190410001180 |
| Provider Name | Tiffany Marie Judd-alishauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274837 PECOS PAC ID: 5597021311 Enrollment ID: I20190416002361 |
| Provider Name | Amber Michelle Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821342999 PECOS PAC ID: 7810142668 Enrollment ID: I20190419000403 |
| Provider Name | Fadi Makari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992958961 PECOS PAC ID: 3072755388 Enrollment ID: I20190424002228 |
| Provider Name | Patrick L Wagner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1811154610 PECOS PAC ID: 9335272749 Enrollment ID: I20190430000567 |
| Provider Name | Ethan Silver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497199335 PECOS PAC ID: 9638424351 Enrollment ID: I20190613001817 |
| Provider Name | Patrick O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033400379 PECOS PAC ID: 5092945626 Enrollment ID: I20190701001421 |
| Provider Name | Saif Al-najafi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932330230 PECOS PAC ID: 0143515882 Enrollment ID: I20190815001531 |
| Provider Name | Shalini Rohini Reddy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053432856 PECOS PAC ID: 7315031929 Enrollment ID: I20190926000005 |
| Provider Name | Vivek Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003182734 PECOS PAC ID: 0840580957 Enrollment ID: I20191120003079 |
| Provider Name | Michael N Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306825708 PECOS PAC ID: 2062541238 Enrollment ID: I20191203002545 |
| Provider Name | Charity Ann Balentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538701248 PECOS PAC ID: 3678907219 Enrollment ID: I20200210000909 |
| Provider Name | Jacquelyn Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902438864 PECOS PAC ID: 5890124713 Enrollment ID: I20200327002978 |
| Provider Name | Jennifer Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689206716 PECOS PAC ID: 8325478233 Enrollment ID: I20200416002728 |
| Provider Name | Patrick D Ireland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164402368 PECOS PAC ID: 1153495452 Enrollment ID: I20200506002123 |
| Provider Name | Melissa Lynn Fannon Wisner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891245981 PECOS PAC ID: 7719247261 Enrollment ID: I20200514002140 |
| Provider Name | Donna-sue Lammie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912533142 PECOS PAC ID: 8426489881 Enrollment ID: I20200519001917 |
| Provider Name | Amanda Bauler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235335829 PECOS PAC ID: 2567510373 Enrollment ID: I20200602001574 |
| Provider Name | Idean Amirjazil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356756795 PECOS PAC ID: 8224398961 Enrollment ID: I20200602002975 |
| Provider Name | Daniel C Hobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922418185 PECOS PAC ID: 9335363233 Enrollment ID: I20200903002174 |
| Provider Name | Megan T Bing |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154648764 PECOS PAC ID: 1658514351 Enrollment ID: I20201123000124 |
| Provider Name | Peyton Mackenzie Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609474006 PECOS PAC ID: 5294147187 Enrollment ID: I20201217002109 |
| Provider Name | Ayorinde N Akinrinlola |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346421856 PECOS PAC ID: 1557507407 Enrollment ID: I20210107000334 |
| Provider Name | John D Price |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205254679 PECOS PAC ID: 9931409505 Enrollment ID: I20210113002501 |
| Provider Name | Swetha Penmasta Alluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679991095 PECOS PAC ID: 7012334188 Enrollment ID: I20210209001580 |
| Provider Name | Mark H Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114929395 PECOS PAC ID: 7719954254 Enrollment ID: I20210215000657 |
| Provider Name | Troy M Glembot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639164858 PECOS PAC ID: 3577564079 Enrollment ID: I20210409001637 |
| Provider Name | Daniel Hynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902248826 PECOS PAC ID: 3577851872 Enrollment ID: I20210413000431 |
| Provider Name | Melinda Jo Edger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871959049 PECOS PAC ID: 0446556906 Enrollment ID: I20210616000919 |
| Provider Name | Naveed Hassan Butt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245629674 PECOS PAC ID: 8820490162 Enrollment ID: I20210709000908 |
| Provider Name | Steven Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700101110 PECOS PAC ID: 3870622616 Enrollment ID: I20210720002814 |
| Provider Name | Charissa Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376113530 PECOS PAC ID: 9133527609 Enrollment ID: I20211013003569 |
| Provider Name | Liseli Whitly James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801317235 PECOS PAC ID: 8022362920 Enrollment ID: I20211018002335 |
| Provider Name | Katelyn Marie Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275147324 PECOS PAC ID: 4486074424 Enrollment ID: I20211214001885 |
| Provider Name | Amanda Rachael Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027254 PECOS PAC ID: 8921437732 Enrollment ID: I20211217001526 |
| Provider Name | Quratul Ain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952898629 PECOS PAC ID: 5698019669 Enrollment ID: I20220111000391 |
| Provider Name | Valerie M Plant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700147212 PECOS PAC ID: 4284954231 Enrollment ID: I20220308000499 |
| Provider Name | Christy A Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942491865 PECOS PAC ID: 0749376598 Enrollment ID: I20220319000140 |
| Provider Name | Stephanie E Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013422682 PECOS PAC ID: 4688934185 Enrollment ID: I20220321002261 |
| Provider Name | Noel S Ashcraft |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1902099864 PECOS PAC ID: 8628964673 Enrollment ID: I20220322000015 |
| Provider Name | Rehan Waheed |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093096778 PECOS PAC ID: 1759674070 Enrollment ID: I20220325000047 |
| Provider Name | Waleed A Eisa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295078988 PECOS PAC ID: 4587967732 Enrollment ID: I20220407002710 |
| Provider Name | Annie Marie Thrift Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073184982 PECOS PAC ID: 9739576315 Enrollment ID: I20220429000013 |
| Provider Name | Emily S Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780145169 PECOS PAC ID: 1153704994 Enrollment ID: I20220811002733 |
| Provider Name | Lindsay R Laign |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871223024 PECOS PAC ID: 1951785260 Enrollment ID: I20220906003079 |
| Provider Name | Martina E Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760050181 PECOS PAC ID: 2961894217 Enrollment ID: I20220922001167 |
| Provider Name | Gerald Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558081406 PECOS PAC ID: 6901264076 Enrollment ID: I20230621003258 |
| Provider Name | Taylor N Hockman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700389368 PECOS PAC ID: 9234486234 Enrollment ID: I20230719003541 |
| Provider Name | Natasha Harris-carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003418781 PECOS PAC ID: 8527471499 Enrollment ID: I20230811003315 |
| Provider Name | Natalie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194408773 PECOS PAC ID: 4688021751 Enrollment ID: I20231110001351 |
| Provider Name | Katelyn Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225816499 PECOS PAC ID: 5092162958 Enrollment ID: I20231114002959 |
| Provider Name | Teneille Taylor Darlington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043083900 PECOS PAC ID: 5698126175 Enrollment ID: I20240109002915 |
| Provider Name | Sumeet K Lall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619395282 PECOS PAC ID: 1557627155 Enrollment ID: I20240201000067 |
| Provider Name | Janet Kayla Stely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144004284 PECOS PAC ID: 3971041633 Enrollment ID: I20240813004062 |
| Provider Name | Andrea O Akyeampong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508401449 PECOS PAC ID: 8325571490 Enrollment ID: I20241028002589 |
| Provider Name | Johny Alencherry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952387300 PECOS PAC ID: 0648171900 Enrollment ID: I20241031002817 |
| Provider Name | Aubrey Elyse Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386429587 PECOS PAC ID: 2668906108 Enrollment ID: I20241106003713 |
| Provider Name | Zachary Kistka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760671044 PECOS PAC ID: 4981838893 Enrollment ID: I20250103002636 |
| Provider Name | Sharrisa Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114645538 PECOS PAC ID: 3870969819 Enrollment ID: I20250330000033 |
| Provider Name | Rachel Livengood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053870063 PECOS PAC ID: 8426458795 Enrollment ID: I20250410002684 |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Doctor Oates Dr Ste 103, Martinsburg, WV 25401 Phone: 304-596-5142 Fax: 304-596-5143 | |
Family Medicine Of Martinsburg, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Foxcroft Ave, Suite 110, Martinsburg, WV 25401 Phone: 304-264-3660 Fax: 304-264-3665 | |
East Mountain Health Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 | |
Shenandoah Valley Medical System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Tavern Rd, Martinsburg, WV 25401 Phone: 304-263-4999 | |
Panhandle Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Aikens Ctr, Martinsburg, WV 25404 Phone: 304-264-2290 Fax: 304-264-2295 | |
Wexford Health Solutions Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 94 Grapevine Rd, Martinsburg, WV 25405 Phone: 630-730-0302 | |
West Virginia University Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Campus Dr Ste 106, Martinsburg, WV 25404 Phone: 304-274-2273 Fax: 304-596-5170 |