| Arh Southern West Virginia Clinic | |
|
250 Stanaford Rd Beckley WV 25801-3140 | |
| (304) 254-2604 | |
| Not Available |
| Full Name | Arh Southern West Virginia Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Stanaford Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arh Southern West Virginia Clinic 100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 487-7503 | Arh Southern West Virginia Clinic 250 Stanaford Rd Beckley WV 25801-3140 Ph: (304) 254-2604 |
| NPI Number | 1477510162 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 0840107835 |
|---|---|
| Medicare Enrollment ID | O20031210000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477510162 | NPI | - | NPPES |
| 001708672 | Other | WV | WV. BLUE CROSS GROUP |
| Provider Name | David M Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689777070 PECOS PAC ID: 5092612358 Enrollment ID: I20031215000889 |
| Provider Name | Anita C Law |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023017910 PECOS PAC ID: 7810881521 Enrollment ID: I20040212000560 |
| Provider Name | Lisa Skinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720042518 PECOS PAC ID: 6406747765 Enrollment ID: I20040324000790 |
| Provider Name | Michael E Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740284371 PECOS PAC ID: 2668450420 Enrollment ID: I20040709000252 |
| Provider Name | Ronald D Porter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518900802 PECOS PAC ID: 5991775777 Enrollment ID: I20040728001741 |
| Provider Name | John Joseph Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508860438 PECOS PAC ID: 9537131271 Enrollment ID: I20040812000028 |
| Provider Name | Johnsey Leef |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568466050 PECOS PAC ID: 0143292847 Enrollment ID: I20040812000394 |
| Provider Name | Anne M. Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790883775 PECOS PAC ID: 0941258651 Enrollment ID: I20050110000722 |
| Provider Name | David Blaine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912968744 PECOS PAC ID: 5496708844 Enrollment ID: I20050224000973 |
| Provider Name | Fausto Doming Imbing |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134128358 PECOS PAC ID: 1951355312 Enrollment ID: I20050309000006 |
| Provider Name | Ajay Anand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164400230 PECOS PAC ID: 9638102619 Enrollment ID: I20050915000230 |
| Provider Name | Bella Nayan Zinzuwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801886478 PECOS PAC ID: 8729038039 Enrollment ID: I20051025000011 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20051230000475 |
| Provider Name | Zeid J Khitan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881659555 PECOS PAC ID: 4486676657 Enrollment ID: I20060103000038 |
| Provider Name | Nathan E Doctry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316994270 PECOS PAC ID: 6002828365 Enrollment ID: I20070504000262 |
| Provider Name | Irene M Wasylyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225010861 PECOS PAC ID: 8729170733 Enrollment ID: I20070822001090 |
| Provider Name | Antoine Katiny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407816416 PECOS PAC ID: 2062508948 Enrollment ID: I20071024000057 |
| Provider Name | Aravinda Nanjundappa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447244488 PECOS PAC ID: 0941230882 Enrollment ID: I20071128000087 |
| Provider Name | Tal R Sutton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629265608 PECOS PAC ID: 7618057753 Enrollment ID: I20080102000506 |
| Provider Name | Bradley W Fraley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619163839 PECOS PAC ID: 7214010115 Enrollment ID: I20080215000381 |
| Provider Name | David L Stuart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518171628 PECOS PAC ID: 9537245972 Enrollment ID: I20080325000451 |
| Provider Name | Michelle G Dudding |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710136148 PECOS PAC ID: 2163586157 Enrollment ID: I20090206000148 |
| Provider Name | Robyn T Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174653810 PECOS PAC ID: 8921157348 Enrollment ID: I20090514000148 |
| Provider Name | Bharat G Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336298413 PECOS PAC ID: 5395751051 Enrollment ID: I20090623000574 |
| Provider Name | Ramzi Haddadin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902844848 PECOS PAC ID: 6305997636 Enrollment ID: I20090626000529 |
| Provider Name | Richard Camp Wisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265475826 PECOS PAC ID: 9638268634 Enrollment ID: I20100209000080 |
| Provider Name | Jamie L Stuart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760712970 PECOS PAC ID: 2961547427 Enrollment ID: I20100308001021 |
| Provider Name | Sangeeta Mandapaka |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932309291 PECOS PAC ID: 9931230315 Enrollment ID: I20100629000266 |
| Provider Name | Justin Douglas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326210857 PECOS PAC ID: 0143353037 Enrollment ID: I20100728001268 |
| Provider Name | Barry Alan Levin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427086727 PECOS PAC ID: 2365575628 Enrollment ID: I20100806000435 |
| Provider Name | Jacob Cameron Mcneel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003839663 PECOS PAC ID: 5193859304 Enrollment ID: I20100810000387 |
| Provider Name | Georgianna M Richards |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043489776 PECOS PAC ID: 4789743782 Enrollment ID: I20101130000814 |
| Provider Name | Petaiah Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033295324 PECOS PAC ID: 3577732718 Enrollment ID: I20110804000601 |
| Provider Name | Rajendra Pratap Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831133818 PECOS PAC ID: 1456519297 Enrollment ID: I20120223000989 |
| Provider Name | Husam M Nazer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811178106 PECOS PAC ID: 4082895784 Enrollment ID: I20120224000238 |
| Provider Name | Stanley Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346355872 PECOS PAC ID: 7719013978 Enrollment ID: I20120712000246 |
| Provider Name | Melaku Demede |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396935763 PECOS PAC ID: 0840447470 Enrollment ID: I20120904000299 |
| Provider Name | Kamal K Sachdeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184889107 PECOS PAC ID: 4880837400 Enrollment ID: I20130829000910 |
| Provider Name | Kumar Md Rai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134428980 PECOS PAC ID: 5395989495 Enrollment ID: I20130911000281 |
| Provider Name | Michael G Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215362256 PECOS PAC ID: 5294962890 Enrollment ID: I20131205000532 |
| Provider Name | Nehal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750686283 PECOS PAC ID: 9537399027 Enrollment ID: I20140228001810 |
| Provider Name | Zonaira Gul |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619161148 PECOS PAC ID: 7719117977 Enrollment ID: I20140308000165 |
| Provider Name | Debra N Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750327508 PECOS PAC ID: 4385657485 Enrollment ID: I20140418000682 |
| Provider Name | Amanda Godfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710265715 PECOS PAC ID: 3173747284 Enrollment ID: I20140611001454 |
| Provider Name | Lindsey S Underwood |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1831502384 PECOS PAC ID: 8224255435 Enrollment ID: I20140812002082 |
| Provider Name | Gleynora J Gilbhrighde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255525481 PECOS PAC ID: 3375773195 Enrollment ID: I20141001000115 |
| Provider Name | Rabiya K Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386713113 PECOS PAC ID: 2365586757 Enrollment ID: I20141218000511 |
| Provider Name | James B Bates |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447323233 PECOS PAC ID: 1557330032 Enrollment ID: I20150309000158 |
| Provider Name | Olawale Olasunkanmi Olatunji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154390078 PECOS PAC ID: 8527963156 Enrollment ID: I20150312002678 |
| Provider Name | Ahmad Eter |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003127432 PECOS PAC ID: 0143535906 Enrollment ID: I20150824000581 |
| Provider Name | David V Webb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992029474 PECOS PAC ID: 5698903458 Enrollment ID: I20160205002272 |
| Provider Name | John M Lucas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316306723 PECOS PAC ID: 5597061622 Enrollment ID: I20160315002435 |
| Provider Name | Meagan Micjelle Cobb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937102 PECOS PAC ID: 1557660792 Enrollment ID: I20161004003064 |
| Provider Name | Kristen N Bozarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735144 PECOS PAC ID: 1052699154 Enrollment ID: I20161025000296 |
| Provider Name | Thomas Anthony Hamlett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265472013 PECOS PAC ID: 1951381201 Enrollment ID: I20170223001305 |
| Provider Name | Parthenia Jane Holly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679012298 PECOS PAC ID: 5991061137 Enrollment ID: I20171103002800 |
| Provider Name | Hillary N Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073871083 PECOS PAC ID: 5991086217 Enrollment ID: I20171220001024 |
| Provider Name | Raechal Ann Childers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063899664 PECOS PAC ID: 9436419942 Enrollment ID: I20180201000542 |
| Provider Name | Dheeraj Kodali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508179607 PECOS PAC ID: 5991955023 Enrollment ID: I20180705003004 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20180723002602 |
| Provider Name | Mikhail Kirnus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922272228 PECOS PAC ID: 2860547452 Enrollment ID: I20180910000087 |
| Provider Name | Cassie L Gunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689152308 PECOS PAC ID: 6901158526 Enrollment ID: I20181010000798 |
| Provider Name | Amber Hedgecock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144713264 PECOS PAC ID: 3072867613 Enrollment ID: I20181116001256 |
| Provider Name | Mary Anibuali |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124597000 PECOS PAC ID: 3072850007 Enrollment ID: I20190129000630 |
| Provider Name | Brandy Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184185977 PECOS PAC ID: 1355683772 Enrollment ID: I20190503000500 |
| Provider Name | Christy Renae Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467946350 PECOS PAC ID: 5092041301 Enrollment ID: I20190724002855 |
| Provider Name | Vasile N Popa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508245572 PECOS PAC ID: 4284963109 Enrollment ID: I20190831000030 |
| Provider Name | Sandra Jo Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235788845 PECOS PAC ID: 6406188655 Enrollment ID: I20191021003634 |
| Provider Name | Murad Md Kheetan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326453952 PECOS PAC ID: 2365661907 Enrollment ID: I20191022003944 |
| Provider Name | Ahlim Al.sanani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902215908 PECOS PAC ID: 2961622212 Enrollment ID: I20191113000159 |
| Provider Name | Teresa Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467932533 PECOS PAC ID: 9537594957 Enrollment ID: I20200113002442 |
| Provider Name | Marsha Renea Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740542562 PECOS PAC ID: 9133478993 Enrollment ID: I20200229000034 |
| Provider Name | Hrishi T Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306812680 PECOS PAC ID: 1153318886 Enrollment ID: I20200407003193 |
| Provider Name | Ali Homayuni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619975026 PECOS PAC ID: 3173553989 Enrollment ID: I20200513001332 |
| Provider Name | Aman Deep |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205281847 PECOS PAC ID: 9032531751 Enrollment ID: I20200624003472 |
| Provider Name | Jasdeep Dalawari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215986807 PECOS PAC ID: 1759275167 Enrollment ID: I20200714001338 |
| Provider Name | Sarang Kashyap |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023438868 PECOS PAC ID: 0244536159 Enrollment ID: I20201027001475 |
| Provider Name | Holly Nicole Tonelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285243048 PECOS PAC ID: 1355751140 Enrollment ID: I20201105002923 |
| Provider Name | Vishwanatha Nadig |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740266998 PECOS PAC ID: 1355330242 Enrollment ID: I20201113000402 |
| Provider Name | Edilfavia Uy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922332006 PECOS PAC ID: 9931352978 Enrollment ID: I20210209000710 |
| Provider Name | Fred Thomas Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841247954 PECOS PAC ID: 7618969015 Enrollment ID: I20210225000112 |
| Provider Name | James Cook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558359943 PECOS PAC ID: 1254374549 Enrollment ID: I20210225000836 |
| Provider Name | Sarah Anne Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477109965 PECOS PAC ID: 3779990452 Enrollment ID: I20210324002439 |
| Provider Name | Saraswathi Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689759532 PECOS PAC ID: 2668889056 Enrollment ID: I20210331002374 |
| Provider Name | Justin A Canter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274100 PECOS PAC ID: 2961783964 Enrollment ID: I20210518000127 |
| Provider Name | George Abraham Khouri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609138866 PECOS PAC ID: 4587987268 Enrollment ID: I20210708003622 |
| Provider Name | David Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396702072 PECOS PAC ID: 5991898835 Enrollment ID: I20211013002537 |
| Provider Name | Jason John Madey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245466937 PECOS PAC ID: 2062791569 Enrollment ID: I20220208002286 |
| Provider Name | Tanelle Sumrall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689652026 PECOS PAC ID: 0941190110 Enrollment ID: I20220318002112 |
| Provider Name | Usha Aryal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073712287 PECOS PAC ID: 2163657362 Enrollment ID: I20220321002669 |
| Provider Name | Joann Mcgee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841302239 PECOS PAC ID: 2365400702 Enrollment ID: I20220426000145 |
| Provider Name | Alexandria Gunnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467108480 PECOS PAC ID: 0749677235 Enrollment ID: I20220502002046 |
| Provider Name | Charity M Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598400756 PECOS PAC ID: 6709268915 Enrollment ID: I20220804003015 |
| Provider Name | Malik A Al-omari |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083712921 PECOS PAC ID: 9537064647 Enrollment ID: I20220808001820 |
| Provider Name | Sardar Shah-khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871989434 PECOS PAC ID: 8921301540 Enrollment ID: I20220826002125 |
| Provider Name | Odeth Barrett-campbell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306297999 PECOS PAC ID: 7214342336 Enrollment ID: I20221206000750 |
| Provider Name | Michlene Rae Passeri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649711094 PECOS PAC ID: 1254733710 Enrollment ID: I20221214000205 |
| Provider Name | Philip N Zambos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093734121 PECOS PAC ID: 6800886771 Enrollment ID: I20230303000312 |
| Provider Name | Timothy J Micek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124106133 PECOS PAC ID: 7315840782 Enrollment ID: I20230519000343 |
| Provider Name | Adriane M Spruell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346623956 PECOS PAC ID: 5395059505 Enrollment ID: I20230713003776 |
| Provider Name | Chayakrit Krittanawong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275996365 PECOS PAC ID: 9739549361 Enrollment ID: I20230714000931 |
| Provider Name | Obi Agborbesong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306251459 PECOS PAC ID: 1355567009 Enrollment ID: I20230905001515 |
| Provider Name | Dolly Boughaba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376582221 PECOS PAC ID: 3779776869 Enrollment ID: I20240308003723 |
| Provider Name | Bre Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417716275 PECOS PAC ID: 3779922141 Enrollment ID: I20240417004366 |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Ct, Beckley, WV 25801 Phone: 304-929-6020 | |
Beckley-uha Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Carriage Dr, Beckley, WV 25801 Phone: 304-255-1544 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Beckley, WV 25801 Phone: 800-268-7713 Fax: 415-704-3294 | |
Community Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 S Fayette St, Beckley, WV 25801 Phone: 304-256-4604 | |
New River Health Association, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1804 Harper Rd Ste A, Beckley, WV 25801 Phone: 304-469-2905 | |
Gastroenterology Of Southern Wv Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1844 Harper Rd, Beckley, WV 25801 Phone: 304-250-0307 Fax: 304-250-0384 | |
Community Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Bill Barker Way, Beckley, WV 25801 Phone: 304-252-8324 |