| Family Medical Care Community Health Center | |
|
3136 West St Weirton WV 26062-4635 | |
| (304) 797-7733 | |
| Not Available |
| Full Name | Family Medical Care Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3136 West St, Weirton, West Virginia |
| Authorized Official Name and Position | Judy Lynn Raveaux (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3047977733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Community Health Center 3136 West St Weirton WV 26062-4635 Ph: (304) 797-7733 | Family Medical Care Community Health Center 3136 West St Weirton WV 26062-4635 Ph: (304) 797-7733 |
| NPI Number | 1245244367 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/30/2014 |
| Medicare PECOS PAC ID | 1759325327 |
|---|---|
| Medicare Enrollment ID | O20050614001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245244367 | NPI | - | NPPES |
| 2161000 | Other | OH | CHANGE DBA FAMILY MEDICAL CARE CHC |
| 2733993 | Medicaid | OH | |
| 3810007536 | Medicaid | WV | |
| 361015 | Other | OH | 200 LURAY DRIVE WINTERSVILLE OH MEDICARE SITE # |
| 2160961 | Other | OH | CHANGE OH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Satyasagar Morisetty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699771527 PECOS PAC ID: 0941109607 Enrollment ID: I20040920000397 |
| Provider Name | Barbara E Fahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689671703 PECOS PAC ID: 9133175219 Enrollment ID: I20050323000130 |
| Provider Name | Kelli L Fournier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588652499 PECOS PAC ID: 3678517000 Enrollment ID: I20050615001076 |
| Provider Name | Lori Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174534291 PECOS PAC ID: 8426072497 Enrollment ID: I20060117000846 |
| Provider Name | Cynthia Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922004589 PECOS PAC ID: 7911978358 Enrollment ID: I20061025000001 |
| Provider Name | Marcy L Crago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902052079 PECOS PAC ID: 7113086794 Enrollment ID: I20081111000882 |
| Provider Name | Manuel Ballas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891781084 PECOS PAC ID: 4789737651 Enrollment ID: I20090727000087 |
| Provider Name | Richard Olutoyin Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902875743 PECOS PAC ID: 0042351124 Enrollment ID: I20100112000220 |
| Provider Name | Sandra Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043546443 PECOS PAC ID: 7416096037 Enrollment ID: I20100322000262 |
| Provider Name | Eli Dragisich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831281856 PECOS PAC ID: 8426184177 Enrollment ID: I20100405000103 |
| Provider Name | Joy Irvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740590140 PECOS PAC ID: 9436347721 Enrollment ID: I20110103000025 |
| Provider Name | Lynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942592035 PECOS PAC ID: 8820275142 Enrollment ID: I20110613000891 |
| Provider Name | Larry Gitelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568438539 PECOS PAC ID: 2365548708 Enrollment ID: I20110701000296 |
| Provider Name | John P Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730176900 PECOS PAC ID: 1759320955 Enrollment ID: I20111128000087 |
| Provider Name | Tammy Aftanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588069561 PECOS PAC ID: 9032436241 Enrollment ID: I20150528001103 |
| Provider Name | Tina M Tiberio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346587409 PECOS PAC ID: 5092952838 Enrollment ID: I20160518001846 |
| Provider Name | Kailey Littleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740624337 PECOS PAC ID: 0345537338 Enrollment ID: I20160919001665 |
| Provider Name | Natalie Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437551918 PECOS PAC ID: 9931423316 Enrollment ID: I20161219001781 |
| Provider Name | Jessica Valesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457727281 PECOS PAC ID: 0042527483 Enrollment ID: I20161228002397 |
| Provider Name | Paul Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265416929 PECOS PAC ID: 6709774516 Enrollment ID: I20170228002749 |
| Provider Name | Monica Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680372 PECOS PAC ID: 2365723400 Enrollment ID: I20170607001913 |
| Provider Name | Doreen Allison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285642793 PECOS PAC ID: 1951468990 Enrollment ID: I20170822002413 |
| Provider Name | Amanda Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942725684 PECOS PAC ID: 1850664178 Enrollment ID: I20170908001625 |
| Provider Name | Annette R Grimshaw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104949338 PECOS PAC ID: 1557386216 Enrollment ID: I20171006002940 |
| Provider Name | John Michael Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240937 PECOS PAC ID: 6709152143 Enrollment ID: I20171030002154 |
| Provider Name | Christopher Edgar Rhody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639169923 PECOS PAC ID: 5890731160 Enrollment ID: I20180309001185 |
| Provider Name | Joseph Vincent King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336422260 PECOS PAC ID: 7618239484 Enrollment ID: I20180315001489 |
| Provider Name | David Applegate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629196571 PECOS PAC ID: 4981775905 Enrollment ID: I20180509002828 |
| Provider Name | Kelly A Lyons |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457847667 PECOS PAC ID: 8022361658 Enrollment ID: I20181030000741 |
| Provider Name | Christina M Creek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154893840 PECOS PAC ID: 8022350784 Enrollment ID: I20190429001374 |
| Provider Name | Daisy Bloomfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649837139 PECOS PAC ID: 9638405160 Enrollment ID: I20190722002810 |
| Provider Name | Amy Eileen Spurrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598249393 PECOS PAC ID: 5294161832 Enrollment ID: I20200130001408 |
| Provider Name | Jean M Alban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689863896 PECOS PAC ID: 4880773894 Enrollment ID: I20200130001557 |
Digestive Disease Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Colliers Way, Suite 301, Weirton, WV 26062 Phone: 304-723-9606 Fax: 304-723-3600 | |
Amandeep S. Purewal, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Colliers Way, Suite B, Weirton, WV 26062 Phone: 304-723-4041 Fax: 304-723-9607 | |
Wmc Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Colliers Way Ste N, Weirton, WV 26062 Phone: 304-797-6557 | |
Dr. Maria N. Tranto Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3665 Pennsylvania Ave, Weirton, WV 26062 Phone: 304-723-4040 | |
Weirton Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Colliers Way, Weirton, WV 26062 Phone: 304-797-6313 | |
The Endocrinology Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 651 Colliers Way, Suite 406, Weirton, WV 26062 Phone: 304-723-5670 | |
Carl Jones, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Colliers Way, Suite 511, Weirton, WV 26062 Phone: 304-723-3093 |