| Raleigh Cardiac Center | |
|
1717 Harper Rd Suite G Beckley WV 25801-3373 | |
| (304) 461-3909 | |
| (304) 461-3916 |
| Full Name | Raleigh Cardiac Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Harper Rd, Beckley, West 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 |
|---|---|
| Raleigh Cardiac Center Po Box 5538 Beckley WV 25801-7507 Ph: (304) 461-3909 | Raleigh Cardiac Center 1717 Harper Rd Suite G Beckley WV 25801-3373 Ph: (304) 461-3909 |
| NPI Number | 1114475746 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 6103735154 |
|---|---|
| Medicare Enrollment ID | O20040914001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114475746 | NPI | - | NPPES |
| Provider Name | Lisa G Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538120415 PECOS PAC ID: 1951204809 Enrollment ID: I20040129000162 |
| Provider Name | Herbert P Oye |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649261330 PECOS PAC ID: 2365435765 Enrollment ID: I20040402001435 |
| Provider Name | Charles E Porterfield |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164486486 PECOS PAC ID: 5597759944 Enrollment ID: I20040512000969 |
| Provider Name | Renee B Saggio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780727289 PECOS PAC ID: 2668438128 Enrollment ID: I20041207000002 |
| Provider Name | Mitchell Nicholas Rashid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689771149 PECOS PAC ID: 1850322462 Enrollment ID: I20050824000002 |
| Provider Name | Elie G Gharib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700845559 PECOS PAC ID: 9436199882 Enrollment ID: I20051216000020 |
| Provider Name | Richard Mailloux |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215976188 PECOS PAC ID: 0143242669 Enrollment ID: I20051228000151 |
| Provider Name | Touraj Farid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760410856 PECOS PAC ID: 9436050424 Enrollment ID: I20060320000301 |
| Provider Name | Barry K Vaught |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194770339 PECOS PAC ID: 4880638568 Enrollment ID: I20060601000001 |
| Provider Name | Jeffrey D Lancaster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437369055 PECOS PAC ID: 2365543675 Enrollment ID: I20070730000745 |
| Provider Name | Scott M Killmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831196542 PECOS PAC ID: 3476520859 Enrollment ID: I20090911000216 |
| Provider Name | Amira Khokar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609080761 PECOS PAC ID: 9739235367 Enrollment ID: I20090923000058 |
| Provider Name | Matthew Koma Nelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720281306 PECOS PAC ID: 0749375905 Enrollment ID: I20091022000757 |
| 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 | Paul Allen Schwiger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801876826 PECOS PAC ID: 7618092180 Enrollment ID: I20110826000206 |
| Provider Name | Peggy J Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437429362 PECOS PAC ID: 6507021912 Enrollment ID: I20120710000780 |
| Provider Name | Lynnetta F Payne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366636763 PECOS PAC ID: 3779732391 Enrollment ID: I20120925000661 |
| Provider Name | Kamakshya P Patra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558519413 PECOS PAC ID: 3678740701 Enrollment ID: I20130327000430 |
| Provider Name | Jeanine R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210012 PECOS PAC ID: 4284873738 Enrollment ID: I20130613000691 |
| Provider Name | Rosalind R Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033534342 PECOS PAC ID: 2163645144 Enrollment ID: I20140520000953 |
| Provider Name | Erica D Shrewsbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982026712 PECOS PAC ID: 6103049150 Enrollment ID: I20140521000893 |
| Provider Name | Shana A Vore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144424698 PECOS PAC ID: 7719011055 Enrollment ID: I20150313000504 |
| Provider Name | Gordon N Holen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225086747 PECOS PAC ID: 0749273928 Enrollment ID: I20150618002932 |
| Provider Name | Blake A Weeks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205191640 PECOS PAC ID: 4981911435 Enrollment ID: I20150915002949 |
| Provider Name | Mark Hayden Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346376613 PECOS PAC ID: 2668579350 Enrollment ID: I20160115002568 |
| Provider Name | Luis Alejandro Asencio Magdaleno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053541797 PECOS PAC ID: 5193006641 Enrollment ID: I20161221001920 |
| Provider Name | George M Charron |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770587594 PECOS PAC ID: 3375535206 Enrollment ID: I20170510002000 |
| Provider Name | Angela Dolganiuc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316232317 PECOS PAC ID: 3476794728 Enrollment ID: I20171115000920 |
| Provider Name | Jhapat Bahadur Thapa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275815466 PECOS PAC ID: 7810202900 Enrollment ID: I20180525000836 |
| Provider Name | Jennalouise Hollnagel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538545298 PECOS PAC ID: 9537414107 Enrollment ID: I20180622000659 |
| Provider Name | Elizabeth Marianne Bass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629498431 PECOS PAC ID: 2264656164 Enrollment ID: I20180803001655 |
| Provider Name | Adil H Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598044299 PECOS PAC ID: 8123394459 Enrollment ID: I20180904000760 |
| Provider Name | Frehiwot Derbew Temesgen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134414667 PECOS PAC ID: 5193011260 Enrollment ID: I20181204002534 |
| Provider Name | Jason M Bird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962065243 PECOS PAC ID: 3870836455 Enrollment ID: I20190522002775 |
| Provider Name | Malik Hamdan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649666413 PECOS PAC ID: 9638485790 Enrollment ID: I20191003003735 |
| Provider Name | Nicole Lia Whatley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073956553 PECOS PAC ID: 9335389469 Enrollment ID: I20191212000235 |
| Provider Name | Sandra Lynn Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401789 PECOS PAC ID: 7911334016 Enrollment ID: I20200303000260 |
| Provider Name | Stefan Lorincz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346383643 PECOS PAC ID: 4587762323 Enrollment ID: I20200323001508 |
| Provider Name | Pascal Atanga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700267770 PECOS PAC ID: 8022322163 Enrollment ID: I20200402000810 |
| Provider Name | Samuel Finck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669681003 PECOS PAC ID: 8426172123 Enrollment ID: I20200508001111 |
| Provider Name | Oluwabukola Christiana Olatubosun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659790707 PECOS PAC ID: 5890113179 Enrollment ID: I20200918000662 |
| Provider Name | Melissa Dawn Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467097840 PECOS PAC ID: 0547689614 Enrollment ID: I20200923003015 |
| Provider Name | Angela Renee Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942816137 PECOS PAC ID: 7214836907 Enrollment ID: I20201027001661 |
| Provider Name | Jamuna R Garisa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124474598 PECOS PAC ID: 6002150893 Enrollment ID: I20201112002764 |
| Provider Name | Aldino G Cellini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205817053 PECOS PAC ID: 9133106982 Enrollment ID: I20201203000021 |
| Provider Name | Gajendra Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720254428 PECOS PAC ID: 7416128764 Enrollment ID: I20210329000750 |
| Provider Name | Sarah Hayek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861889099 PECOS PAC ID: 4183928674 Enrollment ID: I20210729000152 |
| Provider Name | Chinenye Ezike |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992155576 PECOS PAC ID: 4880021278 Enrollment ID: I20210902000085 |
| Provider Name | Carrie Ann Dichiaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447373212 PECOS PAC ID: 9739267485 Enrollment ID: I20220204001842 |
| Provider Name | Engleish A Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881345502 PECOS PAC ID: 2163818212 Enrollment ID: I20220330000483 |
| Provider Name | Amanda Jones Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164143830 PECOS PAC ID: 9739556820 Enrollment ID: I20221102001215 |
| Provider Name | Lisa Marie Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659009777 PECOS PAC ID: 8921477027 Enrollment ID: I20221213000325 |
| Provider Name | Ashley Nicole Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497463608 PECOS PAC ID: 5890165245 Enrollment ID: I20221230000618 |
| Provider Name | Justin Havens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891282927 PECOS PAC ID: 1355795733 Enrollment ID: I20231004001316 |
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 |