| Charleston Gastroenterology Associates | |
|
401 Division St Ste 205 South Charleston WV 25309-1455 | |
| (304) 342-0821 | |
| (304) 345-6679 |
| Full Name | Charleston Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Division St Ste 205, South Charleston, West Virginia |
| Authorized Official Name and Position | Jeremy Ryan Stapleton (PARTNER) |
| Authorized Official Contact | 3043420821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Gastroenterology Associates 401 Division St Ste 205 South Charleston WV 25309-1455 Ph: (304) 342-0821 | Charleston Gastroenterology Associates 401 Division St Ste 205 South Charleston WV 25309-1455 Ph: (304) 342-0821 |
| NPI Number | 1952483802 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 6709922966 |
|---|---|
| Medicare Enrollment ID | O20091002000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952483802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mohamad R Sankari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043274830 PECOS PAC ID: 3971540782 Enrollment ID: I20050413000759 |
| Provider Name | Jeremy Ryan Stapleton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609905462 PECOS PAC ID: 6103963749 Enrollment ID: I20100928001682 |
| Provider Name | Joe Jackson White |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013925957 PECOS PAC ID: 3375717234 Enrollment ID: I20111111000153 |
| Provider Name | Hazem Abdel-hafeez Al-ashhab |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669480505 PECOS PAC ID: 5092888701 Enrollment ID: I20120111000265 |
| Provider Name | Sarah C Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588672075 PECOS PAC ID: 4688995780 Enrollment ID: I20150601002626 |
| Provider Name | Hamza Walid Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558687111 PECOS PAC ID: 3173839792 Enrollment ID: I20170911002143 |
| Provider Name | Shailendra Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184934952 PECOS PAC ID: 7517255151 Enrollment ID: I20171004000953 |
| Provider Name | Kimberly D Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366984734 PECOS PAC ID: 8022383637 Enrollment ID: I20171009000442 |
| Provider Name | Jeremy David Cumberledge |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487912465 PECOS PAC ID: 1759697022 Enrollment ID: I20191029001609 |
| Provider Name | Ehab Rabaa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164586707 PECOS PAC ID: 6204937568 Enrollment ID: I20210512002577 |
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