| West Virginia University Hospitals Inc | |
|
608 Cheat Rd Morgantown WV 26508-4210 | |
| (304) 594-1313 | |
| (304) 594-2408 |
| Full Name | West Virginia University Hospitals Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 608 Cheat Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Albert Wright (PRESIDENT/CEO) |
| Authorized Official Contact | 3045984000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Virginia University Hospitals Inc Po Box 1127 Morgantown WV 26507-1127 Ph: (304) 598-4032 | West Virginia University Hospitals Inc 608 Cheat Rd Morgantown WV 26508-4210 Ph: (304) 594-1313 |
| NPI Number | 1598847634 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 9537077441 |
|---|---|
| Medicare Enrollment ID | O20050404000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598847634 | NPI | - | NPPES |
| 3810001961 | Medicaid | WV | |
| 1007552330008 | Medicaid | PA |
| Provider Name | Rade B Vukmir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730177387 PECOS PAC ID: 5395659098 Enrollment ID: I20040102000583 |
| Provider Name | Terrence Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794731 PECOS PAC ID: 9739179649 Enrollment ID: I20040513000831 |
| Provider Name | Taylor S Troischt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639102247 PECOS PAC ID: 4587642525 Enrollment ID: I20040707001514 |
| Provider Name | Megan Judith Troischt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154445757 PECOS PAC ID: 8325010614 Enrollment ID: I20040809000002 |
| Provider Name | Christopher Scott Goode |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598848392 PECOS PAC ID: 0547234940 Enrollment ID: I20040823000322 |
| Provider Name | Gwendolyn A Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801829593 PECOS PAC ID: 9436117975 Enrollment ID: I20041229000957 |
| Provider Name | Steven C Eshenaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430130 PECOS PAC ID: 5193703700 Enrollment ID: I20050303000804 |
| Provider Name | Kevin M Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487664835 PECOS PAC ID: 0648217638 Enrollment ID: I20050412000157 |
| Provider Name | Staci L Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104841527 PECOS PAC ID: 6901849371 Enrollment ID: I20050607000234 |
| Provider Name | Holly B Hartman Adams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013940709 PECOS PAC ID: 7810930203 Enrollment ID: I20050607000392 |
| Provider Name | Joshua T Lucas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316087216 PECOS PAC ID: 6709820079 Enrollment ID: I20050616001180 |
| Provider Name | Virgil Waid Mcmillion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073520466 PECOS PAC ID: 8325074644 Enrollment ID: I20050708000665 |
| Provider Name | Joseph Minardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007739 PECOS PAC ID: 3971529140 Enrollment ID: I20051017000946 |
| Provider Name | Brian K Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376586396 PECOS PAC ID: 8729020169 Enrollment ID: I20051025000292 |
| Provider Name | Benjamin D Moorehead |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437221322 PECOS PAC ID: 8820096027 Enrollment ID: I20061127000000 |
| Provider Name | Carl D Burkland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255382180 PECOS PAC ID: 6002850138 Enrollment ID: I20070220000470 |
| Provider Name | Richard A Aprea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497719629 PECOS PAC ID: 3779555339 Enrollment ID: I20070306000312 |
| Provider Name | Raina J Burke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558307223 PECOS PAC ID: 3274539879 Enrollment ID: I20070702000447 |
| Provider Name | Radine A Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083794150 PECOS PAC ID: 4486747029 Enrollment ID: I20070912000444 |
| Provider Name | Courtney Smith Adkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174741672 PECOS PAC ID: 3173610706 Enrollment ID: I20071030000263 |
| Provider Name | Andrew C Allison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285619445 PECOS PAC ID: 9133019169 Enrollment ID: I20071115000230 |
| Provider Name | Joseph F Simonette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750338711 PECOS PAC ID: 9830088152 Enrollment ID: I20080110000675 |
| Provider Name | Stephen Robert Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194713008 PECOS PAC ID: 0143287979 Enrollment ID: I20080507000296 |
| Provider Name | Chad D Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467657940 PECOS PAC ID: 4082793583 Enrollment ID: I20080509000000 |
| Provider Name | Barry Michael Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003033317 PECOS PAC ID: 2365519345 Enrollment ID: I20080917000004 |
| Provider Name | Richard E Ryncarz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205813946 PECOS PAC ID: 4688741192 Enrollment ID: I20080925000405 |
| Provider Name | Michael Lee Ferrebee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649352451 PECOS PAC ID: 3971642091 Enrollment ID: I20091203000246 |
| Provider Name | Susannan G Poe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669552501 PECOS PAC ID: 6608904891 Enrollment ID: I20100510000014 |
| Provider Name | Thomas Marshall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407028707 PECOS PAC ID: 0648469676 Enrollment ID: I20110106000690 |
| Provider Name | Marianne C Bonomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184915548 PECOS PAC ID: 3779760384 Enrollment ID: I20110608000408 |
| Provider Name | Christopher Patrick Conrad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730415332 PECOS PAC ID: 5294903688 Enrollment ID: I20110801000212 |
| Provider Name | William Wade Brocklehurst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073762399 PECOS PAC ID: 3274683032 Enrollment ID: I20110829000012 |
| Provider Name | Mitra Nazarinia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871871400 PECOS PAC ID: 7315117389 Enrollment ID: I20110830000542 |
| Provider Name | Heather M Dyson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245512961 PECOS PAC ID: 5698949949 Enrollment ID: I20111122000701 |
| Provider Name | Kyle T Kutrovac |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306019658 PECOS PAC ID: 3173701885 Enrollment ID: I20111207000907 |
| Provider Name | Rohit Agrawal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255380465 PECOS PAC ID: 3173656733 Enrollment ID: I20120118000886 |
| Provider Name | Thomas F Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629164611 PECOS PAC ID: 8426959024 Enrollment ID: I20120404000497 |
| Provider Name | Jennifer L Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669646097 PECOS PAC ID: 3375691686 Enrollment ID: I20120430000227 |
| Provider Name | James B Knopp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548473374 PECOS PAC ID: 4183717481 Enrollment ID: I20120612000283 |
| Provider Name | Melissa Ann Alleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700011749 PECOS PAC ID: 3678738739 Enrollment ID: I20120622000639 |
| Provider Name | Michael Wayne Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679826192 PECOS PAC ID: 1254583594 Enrollment ID: I20121212000349 |
| Provider Name | Jennifer M Auxier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821387929 PECOS PAC ID: 3274786769 Enrollment ID: I20130111000432 |
| Provider Name | Kayla S Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689928228 PECOS PAC ID: 5193978534 Enrollment ID: I20130114000460 |
| Provider Name | Charles A Wills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598784688 PECOS PAC ID: 1254306004 Enrollment ID: I20130903000568 |
| Provider Name | Leonard White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003072810 PECOS PAC ID: 4688849409 Enrollment ID: I20130916000479 |
| Provider Name | Chelsea Renee Gianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056840 PECOS PAC ID: 8426282690 Enrollment ID: I20131002000361 |
| Provider Name | Hassan Barazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972777217 PECOS PAC ID: 4486825080 Enrollment ID: I20131011000176 |
| Provider Name | Craig A Nattkemper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225091507 PECOS PAC ID: 3072544006 Enrollment ID: I20131120001817 |
| Provider Name | Emily R Obertance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659706463 PECOS PAC ID: 1254567928 Enrollment ID: I20131202001783 |
| Provider Name | Hugo Calvin Carducci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885244 PECOS PAC ID: 4486877172 Enrollment ID: I20140528000072 |
| Provider Name | Milind Sumant Awale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528355070 PECOS PAC ID: 0648497230 Enrollment ID: I20140805001556 |
| Provider Name | Glenna A Cather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942317078 PECOS PAC ID: 4183656176 Enrollment ID: I20141109000017 |
| Provider Name | Gail S Nickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477581973 PECOS PAC ID: 0749174399 Enrollment ID: I20141118000616 |
| Provider Name | Silvia Myndresku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942602396 PECOS PAC ID: 7911229992 Enrollment ID: I20141202000521 |
| Provider Name | Terry Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083881031 PECOS PAC ID: 8426123985 Enrollment ID: I20141215001734 |
| Provider Name | Robert E Buckner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588646624 PECOS PAC ID: 8123042157 Enrollment ID: I20150715001813 |
| Provider Name | Faraz S Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609133834 PECOS PAC ID: 5395051734 Enrollment ID: I20150901000392 |
| Provider Name | Ella K Cameron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083860209 PECOS PAC ID: 1456547645 Enrollment ID: I20150909000150 |
| Provider Name | Noah S Childers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124384466 PECOS PAC ID: 9931350717 Enrollment ID: I20160105001476 |
| Provider Name | James C Chuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679830137 PECOS PAC ID: 6406158476 Enrollment ID: I20160107001815 |
| Provider Name | Claude Murat Pluviose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255671202 PECOS PAC ID: 1951609387 Enrollment ID: I20160418001818 |
| Provider Name | Andrew Christian Retzinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164720785 PECOS PAC ID: 2365684438 Enrollment ID: I20160513001940 |
| Provider Name | Emily Larkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073956389 PECOS PAC ID: 5799088308 Enrollment ID: I20160718001774 |
| Provider Name | Jonathan Christopher Neuman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376554477 PECOS PAC ID: 1052201415 Enrollment ID: I20160823001215 |
| Provider Name | Scott Findley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407113905 PECOS PAC ID: 2466769310 Enrollment ID: I20160922001896 |
| Provider Name | Andrzej Janusz Przyszlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285989947 PECOS PAC ID: 8123252152 Enrollment ID: I20161005002847 |
| Provider Name | Shane Dragan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982024048 PECOS PAC ID: 8628370293 Enrollment ID: I20161010001656 |
| Provider Name | Amanda Tennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558814111 PECOS PAC ID: 3971881624 Enrollment ID: I20161031001911 |
| Provider Name | Cynthia Gayle Stockdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548206899 PECOS PAC ID: 0143327999 Enrollment ID: I20161209000064 |
| Provider Name | Heather Artman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801249024 PECOS PAC ID: 5496035404 Enrollment ID: I20161209000171 |
| Provider Name | Melissa Sumney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790874279 PECOS PAC ID: 0345247201 Enrollment ID: I20161209000280 |
| Provider Name | Crystal Dawn Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104281351 PECOS PAC ID: 5496054066 Enrollment ID: I20161214001965 |
| Provider Name | Alexia F Bozek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326469370 PECOS PAC ID: 9436452091 Enrollment ID: I20170117000950 |
| Provider Name | Nicole Grishkevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326582602 PECOS PAC ID: 4486938792 Enrollment ID: I20170306002057 |
| Provider Name | Frederic A Rawlins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205889193 PECOS PAC ID: 9335133230 Enrollment ID: I20170313001200 |
| Provider Name | Dennis A. Laird |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275518102 PECOS PAC ID: 6608769096 Enrollment ID: I20170516002575 |
| Provider Name | Levi Wichterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992229496 PECOS PAC ID: 5799058335 Enrollment ID: I20170902000015 |
| Provider Name | Natalia V Zavodchikov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538456082 PECOS PAC ID: 5991920852 Enrollment ID: I20171020002103 |
| Provider Name | Amit Kaura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689861650 PECOS PAC ID: 8921150640 Enrollment ID: I20171202000132 |
| Provider Name | Shelby Marie Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346752466 PECOS PAC ID: 0345508032 Enrollment ID: I20180102001008 |
| Provider Name | Joseph Lee Joyce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689745523 PECOS PAC ID: 4688764772 Enrollment ID: I20180418000328 |
| Provider Name | Russell Libiore Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134191224 PECOS PAC ID: 6608898945 Enrollment ID: I20180521002669 |
| Provider Name | Manuel C Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508286816 PECOS PAC ID: 7719105121 Enrollment ID: I20180606001765 |
| Provider Name | Andrew William Vucelik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023403094 PECOS PAC ID: 6800199464 Enrollment ID: I20180725001909 |
| Provider Name | Michael Vernon Horner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821483256 PECOS PAC ID: 5799088399 Enrollment ID: I20180823002928 |
| Provider Name | Kudora Melody Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932615689 PECOS PAC ID: 9739441254 Enrollment ID: I20180910000741 |
| Provider Name | Paul Hohman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194105023 PECOS PAC ID: 2365743408 Enrollment ID: I20181003003592 |
| Provider Name | Thomas Grayson Farrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518353408 PECOS PAC ID: 8123320785 Enrollment ID: I20181017001362 |
| Provider Name | Alexis Marco Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730400136 PECOS PAC ID: 2860626694 Enrollment ID: I20181101000256 |
| Provider Name | Brian Zachary Dilcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174986467 PECOS PAC ID: 9032409263 Enrollment ID: I20181127002040 |
| Provider Name | Terry G Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477735355 PECOS PAC ID: 5496823759 Enrollment ID: I20181130001032 |
| Provider Name | Anthony Francis Steratore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346604030 PECOS PAC ID: 9537458922 Enrollment ID: I20190103000971 |
| Provider Name | Benjamin L Lasure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679922686 PECOS PAC ID: 5698069813 Enrollment ID: I20190213000020 |
| Provider Name | Jennifer Nadine Sallinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992079511 PECOS PAC ID: 0345401543 Enrollment ID: I20190213000148 |
| Provider Name | James Murtagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20190430001079 |
| Provider Name | Michelle Angeline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194266502 PECOS PAC ID: 7719256742 Enrollment ID: I20190807001529 |
| Provider Name | Eric Richmond Fenn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215386966 PECOS PAC ID: 5597050146 Enrollment ID: I20190814001042 |
| Provider Name | Matraca Gunnoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094823 PECOS PAC ID: 8426389057 Enrollment ID: I20191014001507 |
| Provider Name | Joseph Hansroth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841731114 PECOS PAC ID: 6901141266 Enrollment ID: I20191024000040 |
| Provider Name | Kristine Nicole Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811332158 PECOS PAC ID: 5698081487 Enrollment ID: I20191024000347 |
| Provider Name | Michael L Martino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679598361 PECOS PAC ID: 2567494289 Enrollment ID: I20191111002531 |
| Provider Name | Tiffany Morgan Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043788011 PECOS PAC ID: 7517399959 Enrollment ID: I20191122002173 |
| Provider Name | Chelsey Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376185017 PECOS PAC ID: 4082047766 Enrollment ID: I20191211000852 |
| Provider Name | John Foster Ruberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699265280 PECOS PAC ID: 6305270901 Enrollment ID: I20200107000113 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407878838 PECOS PAC ID: 2365404365 Enrollment ID: I20200312001853 |
| Provider Name | Angela Hennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013567395 PECOS PAC ID: 9537598545 Enrollment ID: I20200326000987 |
| Provider Name | Valerie Gironda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073834123 PECOS PAC ID: 7517183122 Enrollment ID: I20200401001205 |
| Provider Name | Haygen Ekaterina Mowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053824177 PECOS PAC ID: 7315205598 Enrollment ID: I20200401002206 |
| Provider Name | Jacquelyn M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306476254 PECOS PAC ID: 0648600882 Enrollment ID: I20200430001570 |
| Provider Name | Amanda Lynn Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173492 PECOS PAC ID: 2769768365 Enrollment ID: I20200506002292 |
| Provider Name | Stanley Guertal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770019739 PECOS PAC ID: 8921350042 Enrollment ID: I20200811003663 |
| Provider Name | Dylan Flipse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093954232 PECOS PAC ID: 6002094422 Enrollment ID: I20200813001676 |
| Provider Name | Teresa Michaelis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871957290 PECOS PAC ID: 3577897164 Enrollment ID: I20200824000315 |
| Provider Name | Victor Kopyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053390203 PECOS PAC ID: 7113081357 Enrollment ID: I20200824001098 |
| Provider Name | Cody Larsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003279456 PECOS PAC ID: 0042637555 Enrollment ID: I20200828002266 |
| Provider Name | Daniel Gerard Funsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471547 PECOS PAC ID: 2365789039 Enrollment ID: I20200831001879 |
| Provider Name | Paul Craven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881199867 PECOS PAC ID: 0345594248 Enrollment ID: I20200902000879 |
| Provider Name | Siva Rama Krishna Cheetirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730635095 PECOS PAC ID: 9739417650 Enrollment ID: I20201021000150 |
| Provider Name | John C Kopko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841728599 PECOS PAC ID: 7618247982 Enrollment ID: I20201102002001 |
| Provider Name | Andro L Bonhomme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427349133 PECOS PAC ID: 5799914644 Enrollment ID: I20201214003100 |
| Provider Name | Venkatesh Gupta Cheetirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093236176 PECOS PAC ID: 3577988567 Enrollment ID: I20201215000302 |
| Provider Name | Patricia Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760614655 PECOS PAC ID: 6901071430 Enrollment ID: I20201221001820 |
| Provider Name | James Boulden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548524275 PECOS PAC ID: 1850512765 Enrollment ID: I20210122000832 |
| Provider Name | Kelsey Anne Nicholes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326636978 PECOS PAC ID: 3375959729 Enrollment ID: I20210309002405 |
| Provider Name | Jesus Lemus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700070299 PECOS PAC ID: 0648301408 Enrollment ID: I20210318002956 |
| Provider Name | Cyrus Hajiran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562048 PECOS PAC ID: 8426302282 Enrollment ID: I20210726002480 |
| Provider Name | Vipin D Villgran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013262690 PECOS PAC ID: 9335454891 Enrollment ID: I20211102001890 |
| Provider Name | Sardar Shah-khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811421597 PECOS PAC ID: 3173893732 Enrollment ID: I20220308001729 |
| Provider Name | Joseph Paul Lantz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164865457 PECOS PAC ID: 9436472255 Enrollment ID: I20220517002283 |
| Provider Name | Jane Darras Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780275032 PECOS PAC ID: 7113306150 Enrollment ID: I20220621003035 |
| Provider Name | Darcy Bramer Autry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417417957 PECOS PAC ID: 8527448778 Enrollment ID: I20220705002919 |
| Provider Name | Catherine Ann Kirbos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649739517 PECOS PAC ID: 3678954237 Enrollment ID: I20220714000802 |
Milan Puskar Health Right Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Spruce St, Morgantown, WV 26505 Phone: 304-292-8234 Fax: 304-284-0133 | |
Wvuh Cheat Lake Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26507 Phone: 304-598-4032 Fax: 304-598-4143 | |
Heartnexus Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1054 Maple Dr Ste A, Morgantown, WV 26505 Phone: 304-282-4000 | |
Mylan Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 781 Chestnut Ridge Rd, Morgantown, WV 26505 Phone: 304-554-5298 Fax: 304-598-5445 | |
Rajeev Winfred Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2734 Suncrest Vlg, Morgantown, WV 26505 Phone: 304-685-6218 Fax: 800-783-8715 | |
Milan-puskar Health Right Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 Spruce St, Morgantown, WV 26505 Phone: 304-292-8234 Fax: 304-284-0133 | |
West Virginia University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Wvu Health Sciences Center, Morgantown, WV 26506 Phone: 304-293-1369 Fax: 304-293-2713 |