| Frmc Physicians, Inc. | |
|
1325 Locust Ave Fairmont WV 26554-1435 | |
| (304) 367-7100 | |
| Not Available |
| Full Name | Frmc Physicians, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1325 Locust Ave, Fairmont, West Virginia |
| Authorized Official Name and Position | Michael Sarrao (EXECUTIVE VICE-PRESIDENT) |
| Authorized Official Contact | 9497833976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frmc Physicians, Inc. 1325 Locust Ave Fairmont WV 26554-1435 Ph: (304) 367-7100 | Frmc Physicians, Inc. 1325 Locust Ave Fairmont WV 26554-1435 Ph: (304) 367-7100 |
| NPI Number | 1740688167 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Medicare PECOS PAC ID | 0941527873 |
|---|---|
| Medicare Enrollment ID | O20150402000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740688167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gail Ann Rock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871568907 PECOS PAC ID: 8426042896 Enrollment ID: I20040409000444 |
| Provider Name | Stephen D Durrenberger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063526861 PECOS PAC ID: 2961455928 Enrollment ID: I20050302000280 |
| Provider Name | Mary M Haus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376530717 PECOS PAC ID: 6608873179 Enrollment ID: I20061025000390 |
| Provider Name | Junemarie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225072622 PECOS PAC ID: 4486651718 Enrollment ID: I20061031000085 |
| Provider Name | Wanhong Zheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477752277 PECOS PAC ID: 5991851818 Enrollment ID: I20090918000001 |
| Provider Name | Sean J Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558783282 PECOS PAC ID: 3375774664 Enrollment ID: I20150423000474 |
| Provider Name | Matthew Scott Camerlin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972901346 PECOS PAC ID: 2163743345 Enrollment ID: I20150601001445 |
| Provider Name | Pamela J Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447706882 PECOS PAC ID: 0648556480 Enrollment ID: I20170411001050 |
| Provider Name | Behrooz Tohidi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700853801 PECOS PAC ID: 8325065683 Enrollment ID: I20170613001302 |
| Provider Name | Ellen S Hoban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316491996 PECOS PAC ID: 0840556668 Enrollment ID: I20171113000063 |
| Provider Name | Nathan C Berry |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1578893301 PECOS PAC ID: 6103808787 Enrollment ID: I20171218000628 |
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