Familycare Health Center | |
97 Great Teays Blvd Suite 6 Scott Depot WV 25560-9816 | |
(304) 757-6999 | |
(304) 757-3252 |
Full Name | Familycare Health Center |
---|---|
Speciality | Clinic/Center |
Location | 97 Great Teays Blvd, Scott Depot, West Virginia |
Authorized Official Name and Position | Julie Dianne Ray (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3047576999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Familycare Health Center 97 Great Teays Blvd Suite 6 Scott Depot WV 25560-9816 Ph: (304) 757-6999 | Familycare Health Center 97 Great Teays Blvd Suite 6 Scott Depot WV 25560-9816 Ph: (304) 757-6999 |
NPI Number | 1194759290 |
---|---|
Provider Enumeration Date | 07/11/2006 |
Last Update Date | 09/13/2023 |
Medicare PECOS PAC ID | 4587568134 |
---|---|
Medicare Enrollment ID | O20031125000177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194759290 | NPI | - | NPPES |
CI5043 | Other | WV | RRMC |
1194759290 | Medicaid | WV | |
5369012000 | Medicaid | WV | |
001710197 | Other | WV | BCBS |
001710198 | Other | WV | MS BCBS |
0022633000 | Medicaid | WV |
Provider Name | Linda Kessinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487634275 PECOS PAC ID: 1153210802 Enrollment ID: I20040311001181 |
Provider Name | Ujjal Singh Sandhu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699701094 PECOS PAC ID: 9739179748 Enrollment ID: I20040818000030 |
Provider Name | Raheel Rashee Khan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780785634 PECOS PAC ID: 2567435480 Enrollment ID: I20040818000236 |
Provider Name | Francis Scott Hunter |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275621179 PECOS PAC ID: 2466425269 Enrollment ID: I20040819000173 |
Provider Name | Leon Ronen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922063577 PECOS PAC ID: 8820047202 Enrollment ID: I20050113000225 |
Provider Name | David Jamison Patton |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1730289513 PECOS PAC ID: 8325085947 Enrollment ID: I20050414001023 |
Provider Name | Robert Johnston |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255345971 PECOS PAC ID: 3173565512 Enrollment ID: I20050526000004 |
Provider Name | David Wayne Thomas |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255334405 PECOS PAC ID: 0345271110 Enrollment ID: I20050823000002 |
Provider Name | Paul B Hunter |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487657631 PECOS PAC ID: 1254362023 Enrollment ID: I20050823000003 |
Provider Name | Norman J Montalto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407958101 PECOS PAC ID: 8628003811 Enrollment ID: I20050927000570 |
Provider Name | Nicole M Rashid |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932214939 PECOS PAC ID: 1557389020 Enrollment ID: I20051104000456 |
Provider Name | Sharon Londeree Istfan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083704241 PECOS PAC ID: 3971523465 Enrollment ID: I20051129000717 |
Provider Name | Kimberley Barracco |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700984366 PECOS PAC ID: 7012915416 Enrollment ID: I20061120000105 |
Provider Name | Marsha L Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548316573 PECOS PAC ID: 0143322248 Enrollment ID: I20070220000558 |
Provider Name | Mary J Bailey |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295953065 PECOS PAC ID: 5597856559 Enrollment ID: I20070806000094 |
Provider Name | Grace Ann Gibson |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1346427341 PECOS PAC ID: 7810070885 Enrollment ID: I20080214000006 |
Provider Name | Mary B Jenkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225017874 PECOS PAC ID: 9032283080 Enrollment ID: I20080808000478 |
Provider Name | Kimberly S Cross |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689671406 PECOS PAC ID: 5496820474 Enrollment ID: I20080826000850 |
Provider Name | Angela B Ferguson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366420614 PECOS PAC ID: 3971652918 Enrollment ID: I20090521000109 |
Provider Name | Virginia Michelle Selanik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881664936 PECOS PAC ID: 6204985930 Enrollment ID: I20090528000471 |
Provider Name | April Michele Baisden |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376763144 PECOS PAC ID: 7911058367 Enrollment ID: I20090625000446 |
Provider Name | Christina Dawn Webb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801000633 PECOS PAC ID: 6507912029 Enrollment ID: I20090923000841 |
Provider Name | Dawn L Grigsby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114150398 PECOS PAC ID: 1951449222 Enrollment ID: I20091105000558 |
Provider Name | Letitia Tierney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679792493 PECOS PAC ID: 0547390296 Enrollment ID: I20100608000020 |
Provider Name | Zeina Nadim Haidar |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275704363 PECOS PAC ID: 2769676592 Enrollment ID: I20101104001664 |
Provider Name | Glenn W Ratliff |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356637318 PECOS PAC ID: 1052589991 Enrollment ID: I20110721000024 |
Provider Name | Sarah Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679858930 PECOS PAC ID: 1951565514 Enrollment ID: I20120611000443 |
Provider Name | Jane E Nicholas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1104056878 PECOS PAC ID: 5991960536 Enrollment ID: I20120703000509 |
Provider Name | Sofia S Khan |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1659442127 PECOS PAC ID: 7911150198 Enrollment ID: I20130122000311 |
Provider Name | Stephanie D Metz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619286796 PECOS PAC ID: 6800036229 Enrollment ID: I20130709000201 |
Provider Name | Michael Hackman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013150945 PECOS PAC ID: 1355591579 Enrollment ID: I20130926000331 |
Provider Name | Lauren M Linville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760890412 PECOS PAC ID: 5799905352 Enrollment ID: I20141001002817 |
Provider Name | Krista Dawn Rhodes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780901876 PECOS PAC ID: 1456501592 Enrollment ID: I20141219001642 |
Provider Name | Amber Duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770964819 PECOS PAC ID: 8325355688 Enrollment ID: I20150918000546 |
Provider Name | Christine M Kessell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891170510 PECOS PAC ID: 9739497306 Enrollment ID: I20150930002649 |
Provider Name | Kathryn Adams |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245605393 PECOS PAC ID: 4385948074 Enrollment ID: I20160201000227 |
Provider Name | Sarah J Frazier |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1801232277 PECOS PAC ID: 1557504693 Enrollment ID: I20160901000785 |
Provider Name | Ashton Michelle Holbrook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720430499 PECOS PAC ID: 9830485168 Enrollment ID: I20160913000015 |
Provider Name | Morgan Leigh Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457769523 PECOS PAC ID: 8729307590 Enrollment ID: I20160930002143 |
Provider Name | Erin M Listermann |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1245778232 PECOS PAC ID: 9335425792 Enrollment ID: I20170419001562 |
Provider Name | Susan Renee Ayoubi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912144361 PECOS PAC ID: 7618244344 Enrollment ID: I20170530001166 |
Provider Name | Christy Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730624198 PECOS PAC ID: 2264703768 Enrollment ID: I20170802000063 |
Provider Name | Amber Louise Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275063604 PECOS PAC ID: 3274805106 Enrollment ID: I20170828000518 |
Provider Name | Dawna J Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366832677 PECOS PAC ID: 4082980214 Enrollment ID: I20171016002626 |
Provider Name | Allison S Holstein |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295113785 PECOS PAC ID: 6709192867 Enrollment ID: I20180730001814 |
Provider Name | Hannah R Hudson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326524323 PECOS PAC ID: 2668722711 Enrollment ID: I20180911001869 |
Provider Name | Megan Lerae Maynard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902376601 PECOS PAC ID: 0345589941 Enrollment ID: I20190226001568 |
Provider Name | Chelse Raye Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194370676 PECOS PAC ID: 9032447685 Enrollment ID: I20190821001608 |
Provider Name | Julia A Decanio |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245635689 PECOS PAC ID: 3375873052 Enrollment ID: I20190923002157 |
Provider Name | Trena Lynn Kish |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558531368 PECOS PAC ID: 3678909892 Enrollment ID: I20200207000180 |
Provider Name | Mofolasayo Motunrayo Adeniyi |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1831610724 PECOS PAC ID: 6901227743 Enrollment ID: I20200602002466 |
Provider Name | Samantha Jo Frazier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982132866 PECOS PAC ID: 9335561513 Enrollment ID: I20200616002064 |
Provider Name | Rachel Umeh |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649478777 PECOS PAC ID: 2466874557 Enrollment ID: I20200618000502 |
Provider Name | Syed Ali Mehdi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730595471 PECOS PAC ID: 7416220702 Enrollment ID: I20200714000509 |
Provider Name | Blaire Smith |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1083147375 PECOS PAC ID: 0840546222 Enrollment ID: I20200807002012 |
Provider Name | Taucha Lynn Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790300366 PECOS PAC ID: 7315363264 Enrollment ID: I20200821002612 |
Provider Name | Morgan Elaine Mcclung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164039624 PECOS PAC ID: 3971917444 Enrollment ID: I20210122002635 |
Provider Name | Valerie Leigh Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861083305 PECOS PAC ID: 3971918749 Enrollment ID: I20210209002346 |
Provider Name | Tanya Renee Call |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083216287 PECOS PAC ID: 1153738794 Enrollment ID: I20210329000650 |
Provider Name | Curtis Kevin Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770145435 PECOS PAC ID: 2769899160 Enrollment ID: I20210331002843 |
Provider Name | Paul E Yaeger |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1245857655 PECOS PAC ID: 2062814783 Enrollment ID: I20210716001485 |
Provider Name | Luke Finley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821587007 PECOS PAC ID: 3870844152 Enrollment ID: I20210727003702 |
Provider Name | John G Frohna |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467541680 PECOS PAC ID: 9335149491 Enrollment ID: I20211217000524 |
Provider Name | Khristina L Light |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588335889 PECOS PAC ID: 2769873009 Enrollment ID: I20211222000382 |
Provider Name | Rebekah Rae Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942967013 PECOS PAC ID: 8325426653 Enrollment ID: I20220527001232 |
Provider Name | Tonya L Vannatter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205310943 PECOS PAC ID: 5496127284 Enrollment ID: I20230203000863 |
Provider Name | Cassandra Connelly |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437871035 PECOS PAC ID: 0941673016 Enrollment ID: I20230310001879 |
Provider Name | Angel Cunningham |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932756269 PECOS PAC ID: 7315312766 Enrollment ID: I20230417002148 |
Provider Name | Courtney Blackburn |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609437896 PECOS PAC ID: 1456717859 Enrollment ID: I20230509001874 |
Provider Name | Neil Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295115913 PECOS PAC ID: 1052622123 Enrollment ID: I20230530002033 |
Provider Name | Carrie Jeffries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841441771 PECOS PAC ID: 3173712155 Enrollment ID: I20240508000392 |
Drs Wilson And Martino Of Teays Valley, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4113 Teays Valley Rd, Scott Depot, WV 25560 Phone: 304-201-7645 Fax: 304-757-3840 | |
Ghareeb,dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Poplar Fork Rd, Scott Depot, WV 25560 Phone: 304-757-7441 |