| Wetzel County Hospital Physicians | |
|
3 E Benjamin Dr New Martinsville WV 26155-2705 | |
| (304) 455-8000 | |
| Not Available |
| Full Name | Wetzel County Hospital Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 3 E Benjamin Dr, New Martinsville, West Virginia |
| Authorized Official Name and Position | David F Hess (PRESIDENT & CEO) |
| Authorized Official Contact | 3044558000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wetzel County Hospital Physicians 3 E Benjamin Dr New Martinsville WV 26155-2705 Ph: (304) 455-8000 | Wetzel County Hospital Physicians 3 E Benjamin Dr New Martinsville WV 26155-2705 Ph: (304) 455-8000 |
| NPI Number | 1518590033 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 03/25/2020 |
| Medicare PECOS PAC ID | 4284065400 |
|---|---|
| Medicare Enrollment ID | O20200520000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518590033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brandon Cestaric |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093783060 PECOS PAC ID: 8426958208 Enrollment ID: I20040109000161 |
| Provider Name | Richard Scott Criser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366410219 PECOS PAC ID: 1759281538 Enrollment ID: I20040109000179 |
| Provider Name | Salwa Mohamed Salih |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043267826 PECOS PAC ID: 2860385341 Enrollment ID: I20040206000849 |
| Provider Name | Mathew G Sokos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639140759 PECOS PAC ID: 1658341003 Enrollment ID: I20040731000006 |
| Provider Name | Neal F Aulick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871539338 PECOS PAC ID: 3375515695 Enrollment ID: I20040809000197 |
| Provider Name | Gary A Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891781803 PECOS PAC ID: 9537150982 Enrollment ID: I20041026001070 |
| Provider Name | Amanda Diane Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396731683 PECOS PAC ID: 3870584253 Enrollment ID: I20041026001099 |
| Provider Name | Anthony W Kitchen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871531715 PECOS PAC ID: 3173574944 Enrollment ID: I20050209000474 |
| Provider Name | Zaveen A Kureishy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467455915 PECOS PAC ID: 6406800515 Enrollment ID: I20050311000119 |
| Provider Name | Harold Williams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588639900 PECOS PAC ID: 6608808746 Enrollment ID: I20050909000017 |
| Provider Name | Zaki Mustafa Elsarrag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184679029 PECOS PAC ID: 5193740561 Enrollment ID: I20051014000132 |
| Provider Name | Joseph Jay Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20051017000946 |
| Provider Name | Brian K Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376586396 PECOS PAC ID: 8729020169 Enrollment ID: I20051025000292 |
| Provider Name | Mouhannad Azzouz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760506018 PECOS PAC ID: 8022022664 Enrollment ID: I20060207000515 |
| Provider Name | Bradley K Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861447039 PECOS PAC ID: 1557373990 Enrollment ID: I20060628000368 |
| Provider Name | Gregory B Krivchenia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467410258 PECOS PAC ID: 0547156945 Enrollment ID: I20061012000376 |
| Provider Name | Mary M Haus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376530717 PECOS PAC ID: 6608873179 Enrollment ID: I20061025000390 |
| Provider Name | Nasir A Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821006115 PECOS PAC ID: 4880680982 Enrollment ID: I20061030000609 |
| Provider Name | Hany Maher Tadros |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841345451 PECOS PAC ID: 1759486251 Enrollment ID: I20070411000390 |
| Provider Name | Jeffrey Albin Vos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043209042 PECOS PAC ID: 2466526751 Enrollment ID: I20080805000285 |
| Provider Name | Aaron Lee Scaife |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093929374 PECOS PAC ID: 9739253766 Enrollment ID: I20080808000229 |
| Provider Name | Melina Flanagan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700086030 PECOS PAC ID: 1759457112 Enrollment ID: I20080909000202 |
| Provider Name | Patrick J Bacaj |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871689182 PECOS PAC ID: 0547360406 Enrollment ID: I20080929000567 |
| Provider Name | Christopher Randolph Oneal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508011792 PECOS PAC ID: 2567519994 Enrollment ID: I20090421000765 |
| Provider Name | Angela Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619200946 PECOS PAC ID: 0042358467 Enrollment ID: I20091105000108 |
| Provider Name | David F Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477540748 PECOS PAC ID: 0244309144 Enrollment ID: I20091214000104 |
| Provider Name | William Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720074768 PECOS PAC ID: 3577603968 Enrollment ID: I20091215000725 |
| Provider Name | Patricia L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091456 PECOS PAC ID: 7113069352 Enrollment ID: I20100126000486 |
| Provider Name | Donald Blum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598833436 PECOS PAC ID: 1759419690 Enrollment ID: I20101018000159 |
| Provider Name | Thomas Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407028707 PECOS PAC ID: 0648469676 Enrollment ID: I20110106000690 |
| Provider Name | Ibanga Michael Ekanem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710085824 PECOS PAC ID: 4880864248 Enrollment ID: I20110823000622 |
| Provider Name | Shawn Posin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093888067 PECOS PAC ID: 7214924588 Enrollment ID: I20111221000666 |
| Provider Name | Joseph M Dougherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730252701 PECOS PAC ID: 1254354152 Enrollment ID: I20120125000151 |
| Provider Name | John D Freed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558434522 PECOS PAC ID: 0345414868 Enrollment ID: I20120404000336 |
| Provider Name | Michael Carney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497856066 PECOS PAC ID: 9335314525 Enrollment ID: I20120404000644 |
| Provider Name | Matthew Smolkin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689747792 PECOS PAC ID: 6709816457 Enrollment ID: I20120914000487 |
| Provider Name | Brian Hornsby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780995290 PECOS PAC ID: 3577701325 Enrollment ID: I20130606000138 |
| Provider Name | Niraj Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720097850 PECOS PAC ID: 4587608260 Enrollment ID: I20131022000150 |
| Provider Name | Tracy P Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821417320 PECOS PAC ID: 4082830211 Enrollment ID: I20140724001850 |
| Provider Name | David Howell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720216286 PECOS PAC ID: 3870802523 Enrollment ID: I20151020000093 |
| Provider Name | Alisha Placer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205217833 PECOS PAC ID: 0749590693 Enrollment ID: I20151105002044 |
| Provider Name | Richard C Houck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285050708 PECOS PAC ID: 3577462266 Enrollment ID: I20160224002445 |
| Provider Name | Jayne L Vinskovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114391265 PECOS PAC ID: 3072818533 Enrollment ID: I20160322002435 |
| Provider Name | Scott Findley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407113905 PECOS PAC ID: 2466769310 Enrollment ID: I20160922001896 |
| Provider Name | Luay Mrad |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1922449115 PECOS PAC ID: 8123262888 Enrollment ID: I20161004002839 |
| Provider Name | Shane Dragan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982024048 PECOS PAC ID: 8628370293 Enrollment ID: I20161010001656 |
| Provider Name | Molly E Malone Prioleau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962795674 PECOS PAC ID: 3173835485 Enrollment ID: I20161118001109 |
| Provider Name | Peter Louis Griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174919914 PECOS PAC ID: 1456653765 Enrollment ID: I20180815000941 |
| Provider Name | John Ozolek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639144256 PECOS PAC ID: 1052218476 Enrollment ID: I20181121001495 |
| Provider Name | Brian Zachary Dilcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174986467 PECOS PAC ID: 9032409263 Enrollment ID: I20181127002040 |
| Provider Name | Matthew J Metz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245274497 PECOS PAC ID: 2567369903 Enrollment ID: I20181226002468 |
| Provider Name | Anthony Francis Steratore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346604030 PECOS PAC ID: 9537458922 Enrollment ID: I20190103000971 |
| Provider Name | Benjamin L Lasure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679922686 PECOS PAC ID: 5698069813 Enrollment ID: I20190213000020 |
| Provider Name | Katrin Kiavash |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225370166 PECOS PAC ID: 5193000156 Enrollment ID: I20190515000014 |
| Provider Name | Michelle Angeline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194266502 PECOS PAC ID: 7719256742 Enrollment ID: I20190807001529 |
| Provider Name | Md Shahrier Amin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063821940 PECOS PAC ID: 4587884226 Enrollment ID: I20190903003029 |
| Provider Name | Frank G Schiebel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770588998 PECOS PAC ID: 0143222422 Enrollment ID: I20191016002039 |
| Provider Name | Joseph Hansroth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841731114 PECOS PAC ID: 6901141266 Enrollment ID: I20191024000040 |
| Provider Name | Brittany N Speed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912427576 PECOS PAC ID: 1658642640 Enrollment ID: I20191028001349 |
| Provider Name | Cara Randall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598151672 PECOS PAC ID: 9537480157 Enrollment ID: I20200603000141 |
| Provider Name | Beth Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366964231 PECOS PAC ID: 9830460831 Enrollment ID: I20200722002977 |
| Provider Name | Reima El Naili |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831532134 PECOS PAC ID: 8325374374 Enrollment ID: I20200820003504 |
| Provider Name | Cody Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003279456 PECOS PAC ID: 0042637555 Enrollment ID: I20200828002266 |
| Provider Name | Daniel G Funsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471547 PECOS PAC ID: 2365789039 Enrollment ID: I20200831001879 |
| Provider Name | Paul Craven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881199867 PECOS PAC ID: 0345594248 Enrollment ID: I20200902000879 |
| Provider Name | Jeanne O Connell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336185644 PECOS PAC ID: 6800947474 Enrollment ID: I20200915002050 |
| Provider Name | Joseph Palumbo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043478878 PECOS PAC ID: 3870630106 Enrollment ID: I20200924002068 |
| Provider Name | Nicholas Carey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033613054 PECOS PAC ID: 0547511610 Enrollment ID: I20200929003636 |
| Provider Name | Kristin Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104367507 PECOS PAC ID: 7911277512 Enrollment ID: I20201005001694 |
| Provider Name | Eric L Newsom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598772881 PECOS PAC ID: 4486676830 Enrollment ID: I20201106002197 |
| Provider Name | Stacia Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871133488 PECOS PAC ID: 0446650097 Enrollment ID: I20210618000153 |
| Provider Name | Mark Christiopher Plumby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518344092 PECOS PAC ID: 5395047187 Enrollment ID: I20210621002290 |
| Provider Name | James Scheidler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093246761 PECOS PAC ID: 4385918630 Enrollment ID: I20210715003304 |
| Provider Name | Mark Hofbauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841280682 PECOS PAC ID: 0840222907 Enrollment ID: I20210830000375 |
| Provider Name | Dustin Matthew Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609362524 PECOS PAC ID: 9335498278 Enrollment ID: I20210907000518 |
| Provider Name | Lauren E Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831687714 PECOS PAC ID: 5698168920 Enrollment ID: I20220209002915 |
| Provider Name | Peng Cheng C Han |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750736369 PECOS PAC ID: 1951681287 Enrollment ID: I20220608000852 |
| Provider Name | Darcy Bramer Autry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417417957 PECOS PAC ID: 8527448778 Enrollment ID: I20220705002919 |
| Provider Name | Makenzie V Bartsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093274011 PECOS PAC ID: 7214317171 Enrollment ID: I20220708003148 |
| Provider Name | Catherine Ann Kirbos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649739517 PECOS PAC ID: 3678954237 Enrollment ID: I20220714000802 |
| Provider Name | Morgan L Efaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629568951 PECOS PAC ID: 7012254022 Enrollment ID: I20220725001368 |
| Provider Name | Ramazan Kamil Peker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649913625 PECOS PAC ID: 0749662922 Enrollment ID: I20220804001309 |
| Provider Name | Aaron Morris Gleckman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770727430 PECOS PAC ID: 8628969896 Enrollment ID: I20220812000522 |
| Provider Name | Tony El Jabbour |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831571728 PECOS PAC ID: 3779828686 Enrollment ID: I20220823003569 |
| Provider Name | Barklay D Walter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164915559 PECOS PAC ID: 7719215771 Enrollment ID: I20220829001512 |
| Provider Name | Crystal Dawn L Bradshaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780047969 PECOS PAC ID: 7719213107 Enrollment ID: I20220928002329 |
| Provider Name | John Jacob Pisquiy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750918991 PECOS PAC ID: 9537535513 Enrollment ID: I20221017000288 |
| Provider Name | Lunden Liston Ryan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710330113 PECOS PAC ID: 4688960453 Enrollment ID: I20221024000255 |
| Provider Name | Colleen Jayne Beatty |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689105876 PECOS PAC ID: 4082984653 Enrollment ID: I20221107001441 |
| Provider Name | Alexander Conti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457707804 PECOS PAC ID: 0244521383 Enrollment ID: I20221122000406 |
| Provider Name | Tiffany Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477264125 PECOS PAC ID: 5799831640 Enrollment ID: I20230309002168 |
| Provider Name | Joy Catherine Kim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316409121 PECOS PAC ID: 4880064021 Enrollment ID: I20230329000244 |
| Provider Name | Nicholas Cooper Overton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831725803 PECOS PAC ID: 9830557446 Enrollment ID: I20230614000556 |
| Provider Name | Stephen J Kominsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992706808 PECOS PAC ID: 1951200773 Enrollment ID: I20230724001628 |
| Provider Name | Alison Scyoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881331346 PECOS PAC ID: 5890140461 Enrollment ID: I20231017002817 |
| Provider Name | Holly Noel Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952006553 PECOS PAC ID: 0143676635 Enrollment ID: I20231019000395 |
| Provider Name | David Lucas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457498727 PECOS PAC ID: 2567635568 Enrollment ID: I20231205002387 |
| Provider Name | Charles Anderson Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235716366 PECOS PAC ID: 6305297698 Enrollment ID: I20240111001070 |
| Provider Name | Austin Minnich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912583923 PECOS PAC ID: 0244682334 Enrollment ID: I20240112004022 |
| Provider Name | Kylie Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972280790 PECOS PAC ID: 2567816101 Enrollment ID: I20240122001455 |
| Provider Name | Anthony Michael Del Zotto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780211292 PECOS PAC ID: 2567886773 Enrollment ID: I20240129000051 |
| Provider Name | Clarissa Dawn Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538948997 PECOS PAC ID: 6507200417 Enrollment ID: I20240220000420 |
New Martinsville Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Paducah Drive, New Martinsville, WV 26155 Phone: 304-455-8190 Fax: 304-455-8131 | |
Wetzel Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 E Benjamin Dr, New Martinsville, WV 26155 Phone: 304-455-8000 | |
Wetzel Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 Paducah Dr, New Martinsville, WV 26155 Phone: 304-455-8000 | |
Wetzel Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Benjamin Dr Ste B, New Martinsville, WV 26155 Phone: 304-455-8082 Fax: 304-455-8165 | |
Wetzel County Hospital Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 East Benjamin Drive, New Martinsville, WV 26155 Phone: 304-455-8000 Fax: 304-455-8075 |