Dr James Holehouse, MD | |
51 Southland Dr, Suite 3200, Fairmont, WV 26554-2244 | |
(304) 333-8385 | |
(304) 333-8332 |
Full Name | Dr James Holehouse |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 51 Southland Dr, Fairmont, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477599959 | NPI | - | NPPES |
0091377000 | Medicaid | WV | |
001710365 | Other | WV | BCBS FOR PMMG |
WV15258C | Other | WV | HEALTHPLAN PMMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 15258 (West Virginia) | Primary |
Entity Name | Preston Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230661 PECOS PAC ID: 5294645107 Enrollment ID: O20040609000164 |
Mailing Address | Practice Location Address |
---|---|
Dr James Holehouse, MD 150 Memorial Dr, Kingwood, WV 26537-1141 Ph: (304) 333-8385 | Dr James Holehouse, MD 51 Southland Dr, Suite 3200, Fairmont, WV 26554-2244 Ph: (304) 333-8385 |
Dr. Cheryl Benita Wingate, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1703 Locust Ave, Fairmont, WV 26554 Phone: 304-366-6100 | |
Patrick Corkrean Bonasso, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1703 Locust Ave, Fairmont, WV 26554 Phone: 304-366-6100 Fax: 304-366-2220 |