| Vaught Neurological Services | |
|
1404 Robert C Byrd Dr Ste 100 Crab Orchard WV 25827-9470 | |
| (304) 252-4222 | |
| Not Available |
| Full Name | Vaught Neurological Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1404 Robert C Byrd Dr Ste 100, Crab Orchard, West Virginia |
| Authorized Official Name and Position | Barry K Vaught (SOLE PRACTICIONER) |
| Authorized Official Contact | 3042524222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaught Neurological Services 1619 Stanaford Rd Ste 218 Beckley WV 25801-8624 Ph: (304) 252-4222 | Vaught Neurological Services 1404 Robert C Byrd Dr Ste 100 Crab Orchard WV 25827-9470 Ph: (304) 252-4222 |
| NPI Number | 1639124878 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 6103837414 |
|---|---|
| Medicare Enrollment ID | O20190213000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639124878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Barry K Vaught |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194770339 PECOS PAC ID: 4880638568 Enrollment ID: I20060601000001 |
| Provider Name | Kellie Beth Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659326742 PECOS PAC ID: 7719998954 Enrollment ID: I20060601000006 |
| Provider Name | Robin A Blume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144539750 PECOS PAC ID: 3072702356 Enrollment ID: I20110118001356 |
| Provider Name | Rachael Riggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152330 PECOS PAC ID: 3779824768 Enrollment ID: I20190329002096 |
| Provider Name | Melissa M Riner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255003836 PECOS PAC ID: 0648668210 Enrollment ID: I20211101001954 |
| Provider Name | Dana S Froble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336604750 PECOS PAC ID: 8123480092 Enrollment ID: I20230810000234 |
Vaught Infusion Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1404 Robert C Byrd Dr Ste 202, Crab Orchard, WV 25827 Phone: 304-252-4222 | |
Pressley Ridge Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Robert C Byrd Dr, Crab Orchard, WV 25827 Phone: 304-252-1106 Fax: 304-252-0911 |