Roger Isla, MD | |
651 Colliers Way, Suite 408, Weirton, WV 26062-5053 | |
(304) 723-0005 | |
(304) 723-0074 |
Full Name | Roger Isla |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 651 Colliers Way, Weirton, 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 |
---|---|---|---|
1265439301 | NPI | - | NPPES |
0101320000 | Medicaid | WV | |
0322350 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35035903I (Ohio) | Secondary |
207Y00000X | Otolaryngology | 10220 (West Virginia) | Primary |
Entity Name | Wmc Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518303288 PECOS PAC ID: 0244466753 Enrollment ID: O20131111001065 |
Mailing Address | Practice Location Address |
---|---|
Roger Isla, MD 651 Colliers Way, Suite 203, Weirton, WV 26062-5053 Ph: (304) 723-6040 | Roger Isla, MD 651 Colliers Way, Suite 408, Weirton, WV 26062-5053 Ph: (304) 723-0005 |
Jeffrey Brian Banyas, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 651 Colliers Way Ste 307, Weirton, WV 26062 Phone: 304-797-6197 | |
Dr. Kevin Edward Kelly, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 651 Colliers Way Ste 307, Weirton, WV 26062 Phone: 304-797-6197 |