Mark Elias Tarakji, MD | |
20 Hospital Dr, Logan, WV 25601-3452 | |
(304) 831-1891 | |
Not Available |
Full Name | Mark Elias Tarakji |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 20 Hospital Dr, Logan, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952645111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 27526 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Memorial Hospital | South charleston, WV | Hospital |
Logan Regional Medical Center | Logan, WV | Hospital |
Montgomery General Hospital, Inc | Montgomery, WV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montgomery General Hospital, Inc | 6204735269 | 29 |
Logan General Hospital Llc | 9537078977 | 23 |
Entity Name | Logan General Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720032105 PECOS PAC ID: 9537078977 Enrollment ID: O20031217001124 |
Entity Name | Montgomery General Hospital, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20040108000241 |
Entity Name | Montgomery General Hospital, Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1619913647 PECOS PAC ID: 6204735269 Enrollment ID: O20050110000040 |
Mailing Address | Practice Location Address |
---|---|
Mark Elias Tarakji, MD 102 Fieldcrest Rd, Charleston, WV 25314-1441 Ph: () - | Mark Elias Tarakji, MD 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1891 |
Dr. James Charlton Paugh Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Kruger Building, Suite 300, Logan, WV 25601 Phone: 304-831-1690 Fax: 304-831-1693 | |
Jodi M Cisco-goff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-792-1847 Fax: 304-792-1849 | |
Chanchai Tivitmahaisoon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1254 Fax: 304-831-1679 | |
Robert W Mccleary, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1818 Fax: 304-831-1815 | |
Kriengkrai Kitiphongspattana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1254 Fax: 304-831-1679 |