Lee Parks Theaker, MD | |
2000 Eoff St, Wheeling, WV 26003-3823 | |
(304) 234-0123 | |
Not Available |
Full Name | Lee Parks Theaker |
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Gender | Male |
Speciality | Anesthesiology |
Location | 2000 Eoff St, Wheeling, 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 |
---|---|---|---|
1437247160 | NPI | - | NPPES |
2020422 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35067781T (Ohio) | Primary |
Entity Name | Medical Park Anesthesiologists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376764985 PECOS PAC ID: 9436191046 Enrollment ID: O20140109000967 |
Entity Name | Wheeling Hospital Ambulatory Surgery Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851949465 PECOS PAC ID: 8123354743 Enrollment ID: O20200127001530 |
Mailing Address | Practice Location Address |
---|---|
Lee Parks Theaker, MD 2000 Eoff St, Wheeling, WV 26003-3823 Ph: (304) 234-0123 | Lee Parks Theaker, MD 2000 Eoff St, Wheeling, WV 26003-3823 Ph: (304) 234-0123 |
Romeo Campana Reyes, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Eoff St, Wheeling, WV 26003 Phone: 304-234-0123 | |
Dr. Anthony Scott Marshall, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 | |
Kenneth Scott Allen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073 | |
Dr. Adam D Tune, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 40 Medical Park Ste 507, Wheeling, WV 26003 Phone: 304-243-3965 Fax: 304-243-3968 | |
Dr. M. Lee Haselkorn, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-243-3000 | |
Maryann Cater, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park, Wheeling, WV 26003 Phone: 304-233-2455 Fax: 304-233-6073 |