Syam B Stoll, MD | |
2827 5th Ave, Huntington, WV 25702-1435 | |
(304) 399-7182 | |
(304) 523-7738 |
Full Name | Syam B Stoll |
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Gender | Male |
Speciality | General Practice |
Location | 2827 5th Ave, Huntington, 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 |
---|---|---|---|
1346214913 | NPI | - | NPPES |
9486104 | Other | WV | AETNA |
3810010997 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 21729 (West Virginia) | Primary |
Entity Name | St. Mary's Medical Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922155217 PECOS PAC ID: 5890897151 Enrollment ID: O20070216000690 |
Mailing Address | Practice Location Address |
---|---|
Syam B Stoll, MD Po Box 4190, Barboursville, WV 25504-4190 Ph: (304) 399-4405 | Syam B Stoll, MD 2827 5th Ave, Huntington, WV 25702-1435 Ph: (304) 399-7182 |
Mrs. Seema Gupta, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 | |
Timothy Marziale Kocher, MD General Practice Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Huntington, WV 25701 Phone: 304-691-1824 | |
Aimee Nicole Merritt, FNP-BC General Practice Medicare: Medicare Enrolled Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-526-1234 | |
Stephen B Nutter, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 612 6th Ave, Huntington, WV 25701 Phone: 304-525-4202 Fax: 304-525-4231 | |
Dr. Jayshri M Mody, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5600 Us Route 60, Huntington, WV 25705 Phone: 304-525-7851 Fax: 304-525-1073 | |
Dr. Mary Cathleen Murphy, D.O., MPH, MHA General Practice Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Center Dr, Suite 1500, Huntington, WV 25701 Phone: 304-691-1100 |