| Grant Memorial Hospital Inc | |
|
117 Hospital Dr Petersburg WV 26847-9566 | |
| (304) 257-1026 | |
| (304) 257-9776 |
| Full Name | Grant Memorial Hospital Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 Hospital Dr, Petersburg, West Virginia |
| Authorized Official Name and Position | John Sylvia (PRESIDENT AND CEO) |
| Authorized Official Contact | 3042571026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Memorial Hospital Inc Po Box 1019 Petersburg WV 26847-1019 Ph: (304) 257-1026 | Grant Memorial Hospital Inc 117 Hospital Dr Petersburg WV 26847-9566 Ph: (304) 257-1026 |
| NPI Number | 1679269583 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 4183082712 |
|---|---|
| Medicare Enrollment ID | O20230614001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679269583 | NPI | - | NPPES |
| Provider Name | Robert E Bowen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124042684 PECOS PAC ID: 1456245281 Enrollment ID: I20040218000345 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20050506000705 |
| Provider Name | Stanley Burnett Schmidt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1518071034 PECOS PAC ID: 0446282917 Enrollment ID: I20050906000479 |
| Provider Name | Theresa S Rutledge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922120427 PECOS PAC ID: 7911094818 Enrollment ID: I20071024000391 |
| Provider Name | Becky J Calhoun-harman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134298995 PECOS PAC ID: 4880770205 Enrollment ID: I20080326000380 |
| Provider Name | Dewey F Bensenhaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386718484 PECOS PAC ID: 9436236213 Enrollment ID: I20100813000517 |
| Provider Name | John Howard Lobban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508953522 PECOS PAC ID: 0446348742 Enrollment ID: I20101207000197 |
| Provider Name | Bruce W Leslie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457455958 PECOS PAC ID: 2163689175 Enrollment ID: I20120202000634 |
| Provider Name | Stephen C Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447354956 PECOS PAC ID: 5395902290 Enrollment ID: I20120203000699 |
| Provider Name | Scott C Roberts |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730390782 PECOS PAC ID: 6204084593 Enrollment ID: I20120911000565 |
| Provider Name | Caroline Ayer Armstrong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265758585 PECOS PAC ID: 5092968776 Enrollment ID: I20130521000188 |
| Provider Name | Bilal A H Itani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619978731 PECOS PAC ID: 2860622156 Enrollment ID: I20140306001161 |
| Provider Name | Benjamin C. Leslie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902165228 PECOS PAC ID: 4789901760 Enrollment ID: I20150401000686 |
| Provider Name | Kevin J Shannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881697894 PECOS PAC ID: 5698078814 Enrollment ID: I20181211001106 |
| Provider Name | Matthan Jackson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194170571 PECOS PAC ID: 7012209380 Enrollment ID: I20190820000196 |
| Provider Name | Melissa L Mathias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801146071 PECOS PAC ID: 2365755675 Enrollment ID: I20191024002974 |
| Provider Name | David Sanford Schwartzman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063487932 PECOS PAC ID: 7113050360 Enrollment ID: I20200330003412 |
| Provider Name | Gajendra Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720254428 PECOS PAC ID: 7416128764 Enrollment ID: I20210329000750 |
| Provider Name | Robin A Phares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196077 PECOS PAC ID: 5193124246 Enrollment ID: I20210524000761 |
| Provider Name | Alexey Viktorovich Sergeev |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073249892 PECOS PAC ID: 3870979925 Enrollment ID: I20220927003804 |
| Provider Name | Sandeep Arora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811123672 PECOS PAC ID: 5597817155 Enrollment ID: I20221123001055 |
| Provider Name | Langley Anne Regester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104453935 PECOS PAC ID: 0143633255 Enrollment ID: I20230707003503 |
| Provider Name | Farman Ali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164927471 PECOS PAC ID: 8426410994 Enrollment ID: I20230815003201 |
| Provider Name | Ahmad Zamzam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558853705 PECOS PAC ID: 4880949056 Enrollment ID: I20230907003807 |
| Provider Name | Megan Nicole Dayton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376243675 PECOS PAC ID: 3173978012 Enrollment ID: I20231012000034 |
| Provider Name | Usama Daimee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003259607 PECOS PAC ID: 1850684879 Enrollment ID: I20231212001575 |
| Provider Name | Halie Brooke Swick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679346274 PECOS PAC ID: 2466804596 Enrollment ID: I20240114000187 |
| Provider Name | Suenette Lynn Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255194361 PECOS PAC ID: 0446444244 Enrollment ID: I20240509001563 |
Petersburg High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Viking Dr, Petersburg, WV 26847 Phone: 304-257-1444 Fax: 304-897-6216 | |
Bensenhaver Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr Ste 1, Petersburg, WV 26847 Phone: 304-257-1944 Fax: 304-257-9524 | |
Petersburg Elementary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Rig St, Petersburg, WV 26847 Phone: 304-257-1110 Fax: 304-897-6216 | |
South Branch Hospitalist And Internal Medicine Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Hospital Dr Ste 102, Petersburg, WV 26847 Phone: 304-257-2527 Fax: 304-257-1469 | |
Dewey F Bensenhaver Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 30 Box 95, Petersburg, WV 26847 Phone: 304-257-1456 | |
Grant Memorial Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Hospital Dr, Petersburg, WV 26847 Phone: 304-257-4331 Fax: 304-257-2891 | |
Potomac Valley Physicians For Women Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hospital Drive, Petersburg, WV 26847 Phone: 304-257-2152 Fax: 304-257-2928 |