St Mary's Hospitalist Services, Llc | |
2900 1st Ave Rm 1025 Huntington WV 25702-1241 | |
(304) 399-7484 | |
(304) 399-7579 |
Full Name | St Mary's Hospitalist Services, Llc |
---|---|
Speciality | Internal Medicine |
Location | 2900 1st Ave Rm 1025, Huntington, West Virginia |
Authorized Official Name and Position | Mark Morgan (COO) |
Authorized Official Contact | 3045284600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
St Mary's Hospitalist Services, Llc 5170 Us Rt 60 East Huntington WV 25705 Ph: (304) 528-4600 | St Mary's Hospitalist Services, Llc 2900 1st Ave Rm 1025 Huntington WV 25702-1241 Ph: (304) 399-7484 |
NPI Number | 1942432687 |
---|---|
Provider Enumeration Date | 08/13/2009 |
Last Update Date | 09/28/2022 |
Medicare PECOS PAC ID | 2062552763 |
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Medicare Enrollment ID | O20091210000233 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942432687 | NPI | - | NPPES |
3012751 | Medicaid | OH | |
613918805 | Other | WV | BLACK LUNG/FECA |
3810016162 | Medicaid | WV | |
000000287928 | Other | OH | UNISON |
Provider Name | James Christopher Goetz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700827714 PECOS PAC ID: 4981696093 Enrollment ID: I20040331000155 |
Provider Name | Dawn L Macfarland |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881623155 PECOS PAC ID: 0345224283 Enrollment ID: I20040617000086 |
Provider Name | Jacqueline A Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578504569 PECOS PAC ID: 2163444662 Enrollment ID: I20051228000111 |
Provider Name | Laura F Hysell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720199789 PECOS PAC ID: 7214936657 Enrollment ID: I20061212000264 |
Provider Name | Nilima R Bhirud |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801955232 PECOS PAC ID: 0345345468 Enrollment ID: I20070419000023 |
Provider Name | Janet N Wallace |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023001138 PECOS PAC ID: 8426133851 Enrollment ID: I20080310000636 |
Provider Name | Courtney N Persinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326215195 PECOS PAC ID: 7911077466 Enrollment ID: I20080610000388 |
Provider Name | Gilbert Garza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780612192 PECOS PAC ID: 5597835066 Enrollment ID: I20080610000549 |
Provider Name | Staci C Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558576454 PECOS PAC ID: 1951425412 Enrollment ID: I20100907000103 |
Provider Name | Sybil R Parsley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770781445 PECOS PAC ID: 7012100431 Enrollment ID: I20101019000001 |
Provider Name | Shawn Maynard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487815403 PECOS PAC ID: 8325234495 Enrollment ID: I20101201000743 |
Provider Name | Randy S Kinnard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407084916 PECOS PAC ID: 8123215274 Enrollment ID: I20101215000310 |
Provider Name | Hafsa Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316146699 PECOS PAC ID: 4789735796 Enrollment ID: I20120417000659 |
Provider Name | Tarun Popli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376776443 PECOS PAC ID: 2163670035 Enrollment ID: I20120918000735 |
Provider Name | Pardeep Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528290772 PECOS PAC ID: 2264680933 Enrollment ID: I20120921000434 |
Provider Name | Christopher Jones |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316131253 PECOS PAC ID: 1254417793 Enrollment ID: I20140115001082 |
Provider Name | Hala Alshayeb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942400452 PECOS PAC ID: 0941431241 Enrollment ID: I20140331001249 |
Provider Name | Paul Liszka |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20140625000596 |
Provider Name | Andrea M Lauffer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114247475 PECOS PAC ID: 1951548254 Enrollment ID: I20140905001185 |
Provider Name | Kenneth A Pearson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679701023 PECOS PAC ID: 0840439212 Enrollment ID: I20141008000668 |
Provider Name | Rupali N Sangrampurkar |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023394244 PECOS PAC ID: 5395069496 Enrollment ID: I20150120002253 |
Provider Name | Kelly D Curry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780070813 PECOS PAC ID: 5890009039 Enrollment ID: I20150803000150 |
Provider Name | Oluwakemi M Adeyeri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558641381 PECOS PAC ID: 2769791680 Enrollment ID: I20151015001800 |
Provider Name | Lori Lynn Perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720429806 PECOS PAC ID: 1355650003 Enrollment ID: I20151019002441 |
Provider Name | Murali Krishna Gurram |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720230071 PECOS PAC ID: 0244354058 Enrollment ID: I20160223001085 |
Provider Name | Maegen L Brennan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255881165 PECOS PAC ID: 3173806940 Enrollment ID: I20170202000918 |
Provider Name | Hannah Sue Cline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275069924 PECOS PAC ID: 4981974615 Enrollment ID: I20170727003311 |
Provider Name | Abdullahi Musa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760826614 PECOS PAC ID: 7113216003 Enrollment ID: I20171207002410 |
Provider Name | Frank Duncan Scott |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508804733 PECOS PAC ID: 6507879640 Enrollment ID: I20180129002175 |
Provider Name | Stephanie Ann Salas |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154332765 PECOS PAC ID: 9032102769 Enrollment ID: I20180212001982 |
Provider Name | Ahmed R Abdelkarim |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215171103 PECOS PAC ID: 8729217666 Enrollment ID: I20180215002342 |
Provider Name | Ernesto Zavaleta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982692554 PECOS PAC ID: 0749215382 Enrollment ID: I20180320001194 |
Provider Name | Mukesh Kumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144566712 PECOS PAC ID: 4880828391 Enrollment ID: I20180413001873 |
Provider Name | Crystal Lynn Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306355912 PECOS PAC ID: 4284993841 Enrollment ID: I20180516002083 |
Provider Name | Celsio Gonzalez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144668070 PECOS PAC ID: 2961631536 Enrollment ID: I20180522002706 |
Provider Name | Alicia Ann Morgan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508206194 PECOS PAC ID: 7315234523 Enrollment ID: I20180530003208 |
Provider Name | Richard Hidalgo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427053115 PECOS PAC ID: 1759359441 Enrollment ID: I20180601001215 |
Provider Name | Allen S Lee |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265738637 PECOS PAC ID: 1052557162 Enrollment ID: I20180605000055 |
Provider Name | Annette Corinne Olin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053323881 PECOS PAC ID: 4587661061 Enrollment ID: I20180605000107 |
Provider Name | Mohamed Tashani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093104028 PECOS PAC ID: 6709102825 Enrollment ID: I20181030002476 |
Provider Name | Summer Suzanne Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366903411 PECOS PAC ID: 3870835325 Enrollment ID: I20190502000599 |
Provider Name | Jason M Bird |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962065243 PECOS PAC ID: 3870836455 Enrollment ID: I20190522002775 |
Provider Name | Brenda M Johnston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386112688 PECOS PAC ID: 8123361441 Enrollment ID: I20190529002780 |
Provider Name | Maha Y Ghosn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700080470 PECOS PAC ID: 3476646290 Enrollment ID: I20190605002062 |
Provider Name | Ibrahim A Munkaila |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346236114 PECOS PAC ID: 3072415793 Enrollment ID: I20190731001338 |
Provider Name | Moazzam Shahzad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932653375 PECOS PAC ID: 6103160361 Enrollment ID: I20190814002051 |
Provider Name | Sunita Tulachan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336592419 PECOS PAC ID: 3072867407 Enrollment ID: I20190827000376 |
Provider Name | Sanjay Suwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710339163 PECOS PAC ID: 4082958202 Enrollment ID: I20190829001185 |
Provider Name | Entesar Elsaady |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609226976 PECOS PAC ID: 3375882871 Enrollment ID: I20190903001084 |
Provider Name | Doris Yang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467809210 PECOS PAC ID: 8921346636 Enrollment ID: I20190906002086 |
Provider Name | Atif Butt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912359506 PECOS PAC ID: 1658625405 Enrollment ID: I20190924002235 |
Provider Name | Lili Jie Sun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891149860 PECOS PAC ID: 2062758972 Enrollment ID: I20191104003108 |
Provider Name | Adnan S Elghezewi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407295959 PECOS PAC ID: 7911294731 Enrollment ID: I20191220000049 |
Provider Name | Aman Arora |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700091881 PECOS PAC ID: 9234223512 Enrollment ID: I20191223000709 |
Provider Name | Matthew John Pierzala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811931389 PECOS PAC ID: 9830137496 Enrollment ID: I20200304002133 |
Provider Name | James Robert Hayes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073774097 PECOS PAC ID: 7012104169 Enrollment ID: I20200514000803 |
Provider Name | Timothy Michael Wolfe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437458635 PECOS PAC ID: 2769601483 Enrollment ID: I20200609002341 |
Provider Name | Audrey Ann Stormes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134745409 PECOS PAC ID: 9537582226 Enrollment ID: I20200714002237 |
Provider Name | Gregory Steven Parkins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750817474 PECOS PAC ID: 4981976107 Enrollment ID: I20200824003258 |
Provider Name | Lewis Wyatt Midkiff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568982791 PECOS PAC ID: 0648697185 Enrollment ID: I20200831000375 |
Provider Name | Jodi Lynn Silva-dutey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366084485 PECOS PAC ID: 1951733849 Enrollment ID: I20210413001464 |
Provider Name | Maria Hanafi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578068466 PECOS PAC ID: 8022415074 Enrollment ID: I20210918000052 |
Provider Name | Kent Alan Rivas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174012611 PECOS PAC ID: 4789936857 Enrollment ID: I20210922003033 |
Provider Name | Joyell Lee Johnston-bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831762624 PECOS PAC ID: 1557750379 Enrollment ID: I20211117002086 |
Provider Name | Amanda Gayle Fei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245969930 PECOS PAC ID: 3870961279 Enrollment ID: I20221116000193 |
Provider Name | Katrina Lynn Cremeans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578282745 PECOS PAC ID: 2365810637 Enrollment ID: I20221117000020 |
Provider Name | Amanullah Rana |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821659426 PECOS PAC ID: 5294111878 Enrollment ID: I20230404002019 |
Provider Name | Joseph Barbera |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013409556 PECOS PAC ID: 0840546610 Enrollment ID: I20230427000828 |
Provider Name | Megan Copley Harris |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265744148 PECOS PAC ID: 3678715257 Enrollment ID: I20230502000387 |
Provider Name | Stephanie Lynn Lipscomb |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518588607 PECOS PAC ID: 4880018506 Enrollment ID: I20230706000875 |
Provider Name | Christopher Castillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922663558 PECOS PAC ID: 5991120206 Enrollment ID: I20230815002241 |
Provider Name | Iqtidar Khan |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20230825002586 |
Provider Name | Hamza H Mlatoum |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396169975 PECOS PAC ID: 6002033636 Enrollment ID: I20230825003085 |
Provider Name | Taha Khalid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730793738 PECOS PAC ID: 1456708452 Enrollment ID: I20231114000027 |
Provider Name | Anum Sikandar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376104463 PECOS PAC ID: 8527415421 Enrollment ID: I20231115001045 |
Provider Name | Mariam Khokhar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326675091 PECOS PAC ID: 4385092006 Enrollment ID: I20231117003272 |
Provider Name | Taysir Bsiso |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548881626 PECOS PAC ID: 1052735776 Enrollment ID: I20231206001809 |
Provider Name | Samiyah Sadullah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447860762 PECOS PAC ID: 8325497092 Enrollment ID: I20231207001451 |
Provider Name | Russell Nogot |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255941076 PECOS PAC ID: 7719304138 Enrollment ID: I20240119001815 |
Provider Name | Kewal Khatiwada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831710037 PECOS PAC ID: 5698185833 Enrollment ID: I20240409001276 |
Provider Name | Walter Kusiak |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659992733 PECOS PAC ID: 4082038708 Enrollment ID: I20240513003787 |
Valley Health Prestera Rt 60 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3375 Us Route 60, Huntington, WV 25705 Phone: 304-399-7770 Fax: 304-525-1730 | |
At & T Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 5th Street Rd, Huntington, WV 25701 Phone: 304-529-3558 Fax: 304-529-3036 | |
Tri-state Private Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2547 3rd Ave, Huntington, WV 25703 Phone: 304-638-9128 | |
Valley Health Systems, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4270 Us Route 60, Huntington, WV 25705 Phone: 304-781-5001 Fax: 304-781-5002 | |
Valley Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 3rd Ave, Huntington, WV 25703 Phone: 304-697-1396 Fax: 304-697-2086 | |
St. Mary's Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 1st Ave, Huntington, WV 25702 Phone: 304-526-1014 Fax: 304-526-1021 | |
Cabell Huntington Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Hal Greer Blvd, Huntington, WV 25701 Phone: 304-526-2000 Fax: 304-526-4846 |