| Clinch Professional Physician Services Llc | |
|
6719 Gov G. C. Peery Hwy Suite 3650 Richlands VA 24641-2055 | |
| (276) 596-6773 | |
| (866) 803-1898 |
| Full Name | Clinch Professional Physician Services Llc |
|---|---|
| Speciality | Surgery |
| Location | 6719 Gov G. C. Peery Hwy, Richlands, Virginia |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinch Professional Physician Services Llc 6719 Gov G. C. Peery Hwy Suite 3650 Richlands VA 24641-2055 Ph: (276) 596-6773 | Clinch Professional Physician Services Llc 6719 Gov G. C. Peery Hwy Suite 3650 Richlands VA 24641-2055 Ph: (276) 596-6773 |
| NPI Number | 1609994284 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 9436259223 |
|---|---|
| Medicare Enrollment ID | O20070709000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609994284 | NPI | - | NPPES |
| Provider Name | La Donna B Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952382426 PECOS PAC ID: 2769467562 Enrollment ID: I20040623001482 |
| Provider Name | Amy L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154302628 PECOS PAC ID: 0042296048 Enrollment ID: I20040629001085 |
| Provider Name | Mark D Russ |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629018767 PECOS PAC ID: 6800864281 Enrollment ID: I20040923000171 |
| Provider Name | Mary S Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275573883 PECOS PAC ID: 1052369048 Enrollment ID: I20050106000360 |
| Provider Name | Kevin P Carter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164424107 PECOS PAC ID: 6901846005 Enrollment ID: I20050509000440 |
| Provider Name | Shelley Renea Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790793594 PECOS PAC ID: 9234155938 Enrollment ID: I20051021000477 |
| Provider Name | Marcus W Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669456570 PECOS PAC ID: 2264454552 Enrollment ID: I20051230000127 |
| Provider Name | David M Pfeffer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124108600 PECOS PAC ID: 0840196325 Enrollment ID: I20060419000604 |
| Provider Name | Zaven Jabourian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487758660 PECOS PAC ID: 1355342742 Enrollment ID: I20070129000101 |
| Provider Name | Lawrence W Bender |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306860804 PECOS PAC ID: 5597865949 Enrollment ID: I20070713000498 |
| Provider Name | Kenneth S Sternberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871566190 PECOS PAC ID: 1658278197 Enrollment ID: I20080602000660 |
| Provider Name | Toeya R Piriz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285625632 PECOS PAC ID: 8325143951 Enrollment ID: I20080815000355 |
| Provider Name | Susan R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366614869 PECOS PAC ID: 5193886729 Enrollment ID: I20081201000720 |
| Provider Name | Chauncey B Santos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144402793 PECOS PAC ID: 5991606642 Enrollment ID: I20090110000161 |
| Provider Name | Angela H Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205817780 PECOS PAC ID: 8325102635 Enrollment ID: I20090202000274 |
| Provider Name | Cynthia Satterwhite |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174532733 PECOS PAC ID: 5597822437 Enrollment ID: I20090320000457 |
| Provider Name | Jamal Sahyouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649261090 PECOS PAC ID: 1850287277 Enrollment ID: I20091211000046 |
| Provider Name | William C Hunter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043292501 PECOS PAC ID: 3072409499 Enrollment ID: I20100112000757 |
| Provider Name | Walid H Azzo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679508337 PECOS PAC ID: 5991879959 Enrollment ID: I20110107000874 |
| Provider Name | Vijay Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235361155 PECOS PAC ID: 4183801418 Enrollment ID: I20110614000031 |
| Provider Name | Anthony F. Sibley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417039108 PECOS PAC ID: 1759545114 Enrollment ID: I20120614000591 |
| Provider Name | April Marie Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976821 PECOS PAC ID: 9032360177 Enrollment ID: I20121119000240 |
| Provider Name | Adam C Stiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467791244 PECOS PAC ID: 6608010640 Enrollment ID: I20130913000279 |
| Provider Name | Robert A Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831438878 PECOS PAC ID: 4688803190 Enrollment ID: I20140204000044 |
| Provider Name | Sami Abdul Jawad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487930905 PECOS PAC ID: 9830314863 Enrollment ID: I20140708001707 |
| Provider Name | Joseph Conrad Moran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205805371 PECOS PAC ID: 5092778076 Enrollment ID: I20151215001931 |
| Provider Name | Mark Anthony Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114322955 PECOS PAC ID: 0244555365 Enrollment ID: I20160411002020 |
| Provider Name | Lisa S Stiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548628548 PECOS PAC ID: 4486952207 Enrollment ID: I20160412001273 |
| Provider Name | Ramces A Francisco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366738700 PECOS PAC ID: 9638349053 Enrollment ID: I20160427001843 |
| Provider Name | Khaled Mansour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427281641 PECOS PAC ID: 7214226505 Enrollment ID: I20160829000110 |
| Provider Name | Nona G Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552718 PECOS PAC ID: 2961780242 Enrollment ID: I20161021000834 |
| Provider Name | Arundeep S Kahlon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396029088 PECOS PAC ID: 7517236029 Enrollment ID: I20170627000166 |
| Provider Name | Kelvin B Raybon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750395364 PECOS PAC ID: 4789582628 Enrollment ID: I20170928000354 |
| Provider Name | Sara B Lark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801271440 PECOS PAC ID: 7315244928 Enrollment ID: I20180118002573 |
| Provider Name | Ashley Dawn Mcguire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114151446 PECOS PAC ID: 9638431877 Enrollment ID: I20180327002731 |
| Provider Name | Laura Catherine Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295239655 PECOS PAC ID: 1850656133 Enrollment ID: I20180607002995 |
| Provider Name | Farhad Sahebjam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154661288 PECOS PAC ID: 1254648074 Enrollment ID: I20180619000980 |
| Provider Name | Brijesh Bharatbhai Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528367349 PECOS PAC ID: 9335383074 Enrollment ID: I20180713000249 |
| Provider Name | Hao Duy Pham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902122922 PECOS PAC ID: 6103174651 Enrollment ID: I20180731003505 |
| Provider Name | Angel Justice O'quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962630988 PECOS PAC ID: 9739362419 Enrollment ID: I20181106002777 |
| Provider Name | Tammy Lee Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255814190 PECOS PAC ID: 8325383078 Enrollment ID: I20181227001199 |
| Provider Name | Fady Mamdouh Fayek Tawadros |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770996373 PECOS PAC ID: 0345583035 Enrollment ID: I20190521001603 |
| Provider Name | Cortney E. Farmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174987069 PECOS PAC ID: 9032447552 Enrollment ID: I20190822000003 |
| Provider Name | Angela M Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558911776 PECOS PAC ID: 2567897820 Enrollment ID: I20200114001882 |
| Provider Name | Kenneth Arlin Mcvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316443922 PECOS PAC ID: 0345678538 Enrollment ID: I20200323001292 |
| Provider Name | Kristen Lynette Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932745379 PECOS PAC ID: 9032547062 Enrollment ID: I20200325001060 |
| Provider Name | Emily Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780228528 PECOS PAC ID: 3476982786 Enrollment ID: I20200408003015 |
| Provider Name | Manoj Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730371196 PECOS PAC ID: 4880719293 Enrollment ID: I20200522000869 |
| Provider Name | Bobby G Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613171 PECOS PAC ID: 8921306143 Enrollment ID: I20210211000030 |
| Provider Name | Kayla M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104442250 PECOS PAC ID: 8022436591 Enrollment ID: I20211015001338 |
| Provider Name | Jennifer Shortt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164009908 PECOS PAC ID: 4587065347 Enrollment ID: I20220228001972 |
| Provider Name | Heath Clevinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639636772 PECOS PAC ID: 8921331067 Enrollment ID: I20220527001305 |
| Provider Name | Lucius C Beebe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700874971 PECOS PAC ID: 8426013061 Enrollment ID: I20220811000346 |
| Provider Name | Dara Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265162010 PECOS PAC ID: 6103201157 Enrollment ID: I20220912003901 |
| Provider Name | Raymond A Hackett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528173325 PECOS PAC ID: 0446216550 Enrollment ID: I20221012000129 |
| Provider Name | Wendy Lawless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073149407 PECOS PAC ID: 9739510256 Enrollment ID: I20230124001580 |
| Provider Name | Rajendra Motwani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013950740 PECOS PAC ID: 7810886272 Enrollment ID: I20230215002265 |
| Provider Name | Holly Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720793888 PECOS PAC ID: 9335504893 Enrollment ID: I20230505001030 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20231003000913 |
| Provider Name | Jessica Duty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699448837 PECOS PAC ID: 6901258094 Enrollment ID: I20240112004229 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20240212000506 |
| Provider Name | Walid Alami |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003897869 PECOS PAC ID: 0042200586 Enrollment ID: I20240402001414 |
| Provider Name | David Lu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689760522 PECOS PAC ID: 9931137528 Enrollment ID: I20240416002437 |
James H. Mcvey, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Suite 202, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 | |
Jamal I. Sahyouni, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 Front St, Clinch Valley Medical Center, Ste. 1600, Richlands, VA 24641 Phone: 276-596-9510 | |
Washington Square Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 | |
Clinch Valley Physicians Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Clinic Dr, Claypool Hill, Richlands, VA 24641 Phone: 276-964-6771 Fax: 276-964-1314 | |
Clinch Valley Endocrinology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2951 West Front Street, Suite 2600, Richlands, VA 24641 Phone: 276-596-6711 | |
Washington Square Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3150 Clinch St, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 | |
Ravi K Titha Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3150 Clinch St, Richlands, VA 24641 Phone: 276-964-6711 Fax: 276-964-2240 |