| Wmc Physician Practices Llc | |
|
560 Steubenville Pike Burgettstown PA 15021-8539 | |
| (304) 797-6557 | |
| (304) 797-6306 |
| Full Name | Wmc Physician Practices Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 560 Steubenville Pike, Burgettstown, Pennsylvania |
| Authorized Official Name and Position | Linda Lee Mckeen (PROVIDER SUPPORT AND CREDENTIALING) |
| Authorized Official Contact | 3047976404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wmc Physician Practices Llc 651 Colliers Way # 300 Weirton WV 26062-5053 Ph: (304) 797-6557 | Wmc Physician Practices Llc 560 Steubenville Pike Burgettstown PA 15021-8539 Ph: (304) 797-6557 |
| NPI Number | 1518303288 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 0244466753 |
|---|---|
| Medicare Enrollment ID | O20131111001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518303288 | NPI | - | NPPES |
| Provider Name | Arlene Stern Feder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508867979 PECOS PAC ID: 7315846151 Enrollment ID: I20031231000345 |
| Provider Name | Roger Isla |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265439301 PECOS PAC ID: 9739081837 Enrollment ID: I20040121000256 |
| Provider Name | Saieed H Saieed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346254950 PECOS PAC ID: 8022008069 Enrollment ID: I20040517001192 |
| Provider Name | Cherian John |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891792099 PECOS PAC ID: 5698765907 Enrollment ID: I20040517001246 |
| Provider Name | Paula A Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508863481 PECOS PAC ID: 5395793277 Enrollment ID: I20050107000029 |
| Provider Name | Rupinder K Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164410098 PECOS PAC ID: 2062463052 Enrollment ID: I20050208000142 |
| Provider Name | Krishan K Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194712299 PECOS PAC ID: 0840244224 Enrollment ID: I20050315001015 |
| Provider Name | Christopher J Cowher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902893753 PECOS PAC ID: 3779520622 Enrollment ID: I20050425000726 |
| Provider Name | Camille J Castaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501482 PECOS PAC ID: 5395784789 Enrollment ID: I20050426000471 |
| Provider Name | Amandeep S Purewal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932195724 PECOS PAC ID: 4486613676 Enrollment ID: I20050524000227 |
| Provider Name | Vardhan Jonnala Reddy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568450245 PECOS PAC ID: 6204878010 Enrollment ID: I20050706000027 |
| Provider Name | Krzysztof J Kubicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962499046 PECOS PAC ID: 2961405543 Enrollment ID: I20060822000061 |
| Provider Name | Stephen Richard Alatis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396726550 PECOS PAC ID: 3577560648 Enrollment ID: I20070302000232 |
| Provider Name | Stanley C Mannino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487645727 PECOS PAC ID: 6406956952 Enrollment ID: I20070724000526 |
| Provider Name | Damian Rispoli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932286051 PECOS PAC ID: 9133107014 Enrollment ID: I20071128000610 |
| Provider Name | Lisa Suzanne Noble |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942263819 PECOS PAC ID: 7416032438 Enrollment ID: I20080314000017 |
| Provider Name | Atul S Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801884556 PECOS PAC ID: 7113904095 Enrollment ID: I20100204000005 |
| Provider Name | Hardev Parihar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649255423 PECOS PAC ID: 2062578065 Enrollment ID: I20100218000267 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134116601 PECOS PAC ID: 0345375093 Enrollment ID: I20100319000132 |
| Provider Name | Stephen H Mascio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790786853 PECOS PAC ID: 5294790572 Enrollment ID: I20100329000542 |
| Provider Name | Charles Peter Capito |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770574212 PECOS PAC ID: 6800780255 Enrollment ID: I20100329000693 |
| Provider Name | Amar N Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114914280 PECOS PAC ID: 2062516362 Enrollment ID: I20100803000274 |
| Provider Name | Joseph J Depetro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083764666 PECOS PAC ID: 0143419549 Enrollment ID: I20110118000257 |
| Provider Name | Betty Marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114077740 PECOS PAC ID: 3375732779 Enrollment ID: I20110118000311 |
| Provider Name | John Cherian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134381593 PECOS PAC ID: 8628255882 Enrollment ID: I20110615000840 |
| Provider Name | Ghassan A Alayli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669443107 PECOS PAC ID: 3173580941 Enrollment ID: I20120521000229 |
| Provider Name | Indubala Murty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033115696 PECOS PAC ID: 1153470943 Enrollment ID: I20120706000146 |
| Provider Name | Carol Slomski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114962826 PECOS PAC ID: 5597709782 Enrollment ID: I20120914000434 |
| Provider Name | Carletta Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396080313 PECOS PAC ID: 8628217346 Enrollment ID: I20130619000502 |
| Provider Name | Kelly M Devoogd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780810192 PECOS PAC ID: 4587717624 Enrollment ID: I20130708000557 |
| Provider Name | Rachel Stern Gilman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932283603 PECOS PAC ID: 3678569399 Enrollment ID: I20130708000604 |
| Provider Name | Tina M Cutone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598841645 PECOS PAC ID: 7719876952 Enrollment ID: I20130711000902 |
| Provider Name | David M Lobas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619039534 PECOS PAC ID: 3375535438 Enrollment ID: I20131014000902 |
| Provider Name | Kevin E Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154452787 PECOS PAC ID: 5496772519 Enrollment ID: I20131212001862 |
| Provider Name | Kathy Mckain |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407823198 PECOS PAC ID: 1951388503 Enrollment ID: I20140111000019 |
| Provider Name | Thomas Vero Lheureau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710982269 PECOS PAC ID: 7517976012 Enrollment ID: I20140220001746 |
| Provider Name | James W Valuska |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831194380 PECOS PAC ID: 8729070917 Enrollment ID: I20140224001338 |
| Provider Name | Thomas J Weimerskirch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477978302 PECOS PAC ID: 4789807736 Enrollment ID: I20140521000748 |
| Provider Name | Angelo M Ripepi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316281330 PECOS PAC ID: 3779737440 Enrollment ID: I20140624002076 |
| Provider Name | Daniel H Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669416590 PECOS PAC ID: 5395784441 Enrollment ID: I20140625001942 |
| Provider Name | Jennifer Celebrezze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588664155 PECOS PAC ID: 8729115654 Enrollment ID: I20140905000496 |
| Provider Name | Christie J Hilton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700115763 PECOS PAC ID: 4981839396 Enrollment ID: I20140930002473 |
| Provider Name | Jason C Stepp |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124226311 PECOS PAC ID: 9032235809 Enrollment ID: I20141106001862 |
| Provider Name | Anne Jessica Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995165 PECOS PAC ID: 5991925067 Enrollment ID: I20141109000044 |
| Provider Name | Giridhar Santebennur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407976939 PECOS PAC ID: 7911070503 Enrollment ID: I20141212000326 |
| Provider Name | Monica Marie Valerio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679991723 PECOS PAC ID: 3577887231 Enrollment ID: I20150209000125 |
| Provider Name | Jennifer Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265839864 PECOS PAC ID: 4082930490 Enrollment ID: I20150302002415 |
| Provider Name | Paul Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982093019 PECOS PAC ID: 6002131208 Enrollment ID: I20150310000800 |
| Provider Name | Mohammad F El Hillal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477578342 PECOS PAC ID: 8527242965 Enrollment ID: I20150501001331 |
| Provider Name | Morgan Mahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144613340 PECOS PAC ID: 9335468495 Enrollment ID: I20150512001880 |
| Provider Name | Diana Carmona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841262656 PECOS PAC ID: 8224069463 Enrollment ID: I20150528000973 |
| Provider Name | Tammy Aftanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588069561 PECOS PAC ID: 9032436241 Enrollment ID: I20150528001103 |
| Provider Name | Atul Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851406227 PECOS PAC ID: 3971492265 Enrollment ID: I20150603002906 |
| Provider Name | Shea L Bonacci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285029454 PECOS PAC ID: 2466771704 Enrollment ID: I20150613000100 |
| Provider Name | Jill Leann Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154760825 PECOS PAC ID: 5698087138 Enrollment ID: I20150711000154 |
| Provider Name | Shaban Al Shoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114915899 PECOS PAC ID: 5698667806 Enrollment ID: I20150919000157 |
| Provider Name | Joann C Dudley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962517128 PECOS PAC ID: 2466528179 Enrollment ID: I20151216001049 |
| Provider Name | Melissa C Marcino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629366463 PECOS PAC ID: 3072787902 Enrollment ID: I20160121001638 |
| Provider Name | Gene Finley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730171968 PECOS PAC ID: 9032003850 Enrollment ID: I20160122001550 |
| Provider Name | Kelley Kristen Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396116109 PECOS PAC ID: 2769783190 Enrollment ID: I20160201001364 |
| Provider Name | Vijayalakshmi Ragoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396702809 PECOS PAC ID: 5991836512 Enrollment ID: I20160309001757 |
| Provider Name | Brian M Thomas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992948392 PECOS PAC ID: 0345498556 Enrollment ID: I20160323001849 |
| Provider Name | Ali I Amjad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568690287 PECOS PAC ID: 6608188560 Enrollment ID: I20160728002329 |
| Provider Name | Niyati N Asher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669616199 PECOS PAC ID: 8022161199 Enrollment ID: I20160802001257 |
| Provider Name | Stephanie Schrickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831564632 PECOS PAC ID: 6507904000 Enrollment ID: I20160920002048 |
| Provider Name | Collin James Conway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235389180 PECOS PAC ID: 4688816051 Enrollment ID: I20170109001348 |
| Provider Name | Prasad Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225024730 PECOS PAC ID: 1052365699 Enrollment ID: I20170112002696 |
| Provider Name | Hannah Elizabeth Reynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972045326 PECOS PAC ID: 8224312632 Enrollment ID: I20170303000096 |
| Provider Name | Nicole Grishkevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326582602 PECOS PAC ID: 4486938792 Enrollment ID: I20170306002057 |
| Provider Name | Raelynn Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790227262 PECOS PAC ID: 8022392109 Enrollment ID: I20170309001610 |
| Provider Name | Marian A Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710429162 PECOS PAC ID: 3375828346 Enrollment ID: I20170315000505 |
| Provider Name | Laila D Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327485 PECOS PAC ID: 8820373509 Enrollment ID: I20170320001529 |
| Provider Name | Ranjita Pallavi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063760676 PECOS PAC ID: 2466729934 Enrollment ID: I20170720002827 |
| Provider Name | Adam Corcovilos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982040234 PECOS PAC ID: 6002118783 Enrollment ID: I20170721001804 |
| Provider Name | Venkata Tammana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689833048 PECOS PAC ID: 2466671359 Enrollment ID: I20170912000017 |
| Provider Name | Hemamalini Karpurapu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164689618 PECOS PAC ID: 9537291836 Enrollment ID: I20171010002535 |
| Provider Name | Kristen Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396512 PECOS PAC ID: 4385904705 Enrollment ID: I20180205000002 |
| Provider Name | Jeffrey Brian Banyas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083600498 PECOS PAC ID: 3779533666 Enrollment ID: I20180625000020 |
| Provider Name | Kelly Nicole Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437640158 PECOS PAC ID: 0840534301 Enrollment ID: I20181210003516 |
| Provider Name | Krista Lynn Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770095168 PECOS PAC ID: 0143589549 Enrollment ID: I20181212001685 |
| Provider Name | Rise Lee Katnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518246388 PECOS PAC ID: 5698021079 Enrollment ID: I20181221001932 |
| Provider Name | Arunkumar Sanjeevi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1932181070 PECOS PAC ID: 3870507593 Enrollment ID: I20190104001691 |
| Provider Name | Anthony Rees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312206 PECOS PAC ID: 2668710062 Enrollment ID: I20190211000411 |
| Provider Name | Rishi Kad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386880227 PECOS PAC ID: 2163576166 Enrollment ID: I20190417003084 |
| Provider Name | Hemant A Patani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043216252 PECOS PAC ID: 2163558727 Enrollment ID: I20190508001840 |
| Provider Name | Katelyn Nichelle Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750851853 PECOS PAC ID: 0547593204 Enrollment ID: I20190611003855 |
| Provider Name | Leslie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414737 PECOS PAC ID: 8729315593 Enrollment ID: I20190816001521 |
| Provider Name | Elizabeth Mckeever |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972161677 PECOS PAC ID: 3476881699 Enrollment ID: I20190827001372 |
| Provider Name | Jennifer Zatezalo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396107207 PECOS PAC ID: 3971886607 Enrollment ID: I20190919002819 |
| Provider Name | Laura Jean Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396044863 PECOS PAC ID: 0244545200 Enrollment ID: I20191024000175 |
| Provider Name | Charity Faith Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043780968 PECOS PAC ID: 6608108402 Enrollment ID: I20191029000159 |
| Provider Name | Dana Tiberio Lounder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144515180 PECOS PAC ID: 9133554132 Enrollment ID: I20200122000856 |
| Provider Name | Tejaswi Voladri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093261349 PECOS PAC ID: 8729374194 Enrollment ID: I20200311001281 |
| Provider Name | Erin Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972148567 PECOS PAC ID: 7315376134 Enrollment ID: I20200331000143 |
| Provider Name | Amanda Lynn Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173492 PECOS PAC ID: 2769768365 Enrollment ID: I20200506002292 |
| Provider Name | Jessica Haddox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154953750 PECOS PAC ID: 3375971112 Enrollment ID: I20200512000711 |
| Provider Name | Ericca Fulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699305714 PECOS PAC ID: 7012348469 Enrollment ID: I20200519001066 |
| Provider Name | Tamiki M Mehaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107132 PECOS PAC ID: 0446671929 Enrollment ID: I20200609002899 |
| Provider Name | Allison Marie Buczynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407498850 PECOS PAC ID: 3870915879 Enrollment ID: I20200623000844 |
| Provider Name | John Luiza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659799146 PECOS PAC ID: 3274835525 Enrollment ID: I20200721001598 |
| Provider Name | Braidy Nicole Tandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578192290 PECOS PAC ID: 5496175838 Enrollment ID: I20201023000783 |
| Provider Name | Natalie Renee Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534567 PECOS PAC ID: 3274947395 Enrollment ID: I20210202001173 |
| Provider Name | Amanda M. Kyer-boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963625 PECOS PAC ID: 0446678288 Enrollment ID: I20210304002007 |
| Provider Name | Mitchell Mock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346694585 PECOS PAC ID: 6901192467 Enrollment ID: I20210312000102 |
| Provider Name | Nicole Ruth Rawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881669372 PECOS PAC ID: 7911904131 Enrollment ID: I20210412002664 |
| Provider Name | Abigail Toothman Hoyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679094759 PECOS PAC ID: 5799058871 Enrollment ID: I20210622002700 |
| Provider Name | Courtney Levendorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467947713 PECOS PAC ID: 7517360217 Enrollment ID: I20210719001776 |
| Provider Name | Neil Khurana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801383369 PECOS PAC ID: 1254736580 Enrollment ID: I20210824002212 |
| Provider Name | Samantha Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932796562 PECOS PAC ID: 0446648646 Enrollment ID: I20211020001647 |
| Provider Name | Taylor Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144825548 PECOS PAC ID: 9830589621 Enrollment ID: I20211210000103 |
| Provider Name | Daniel Jovanovich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336105949 PECOS PAC ID: 8921079641 Enrollment ID: I20220223002889 |
| Provider Name | Sean Riley Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841892122 PECOS PAC ID: 3476949132 Enrollment ID: I20220405002146 |
| Provider Name | Stephanie Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508520321 PECOS PAC ID: 7618364159 Enrollment ID: I20220502000058 |
| Provider Name | Rachel Capp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477002327 PECOS PAC ID: 5496143364 Enrollment ID: I20220513000095 |
| Provider Name | Brittnie Cave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023524212 PECOS PAC ID: 5294097218 Enrollment ID: I20220524000977 |
| Provider Name | Valerie Sue Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821755760 PECOS PAC ID: 8921486242 Enrollment ID: I20220527000600 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20220630000710 |
| Provider Name | Ankur Puri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164410940 PECOS PAC ID: 3577614023 Enrollment ID: I20220729002978 |
| Provider Name | Jessica Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134622541 PECOS PAC ID: 7618224395 Enrollment ID: I20220808002112 |
| Provider Name | Shahvaiz Magsi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295260255 PECOS PAC ID: 3971980426 Enrollment ID: I20220818001962 |
| Provider Name | Lesli Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831825413 PECOS PAC ID: 7416323084 Enrollment ID: I20221024000200 |
| Provider Name | Natasha Nicole Kowalczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639807969 PECOS PAC ID: 5698148039 Enrollment ID: I20230306000353 |
| Provider Name | Brittany Kable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538642715 PECOS PAC ID: 1850643107 Enrollment ID: I20230315001530 |
| Provider Name | Leah Malone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194256974 PECOS PAC ID: 5294157079 Enrollment ID: I20230328000246 |
| Provider Name | Kelli L Mckim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366156226 PECOS PAC ID: 4082088240 Enrollment ID: I20230330000561 |
| Provider Name | Michaela Lamonde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699129817 PECOS PAC ID: 1052602620 Enrollment ID: I20230630000887 |
| Provider Name | Nicholas Jovanovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884290 PECOS PAC ID: 4385888114 Enrollment ID: I20230721001321 |
| Provider Name | Anna Deborah Van Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730868712 PECOS PAC ID: 7618338989 Enrollment ID: I20230802003459 |
| Provider Name | Ganesh Arun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386264679 PECOS PAC ID: 7416303235 Enrollment ID: I20231030002474 |
| Provider Name | Sara Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710769260 PECOS PAC ID: 8921454620 Enrollment ID: I20231101002670 |
| Provider Name | Lisa Marie Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639944382 PECOS PAC ID: 0042660730 Enrollment ID: I20231220004092 |
Cornerstone Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1227 Smith Township State Rd, Burgettstown, PA 15021 Phone: 724-947-2255 Fax: 724-947-2477 | |
Cornerstone Care/dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1227 Smith Township State Rd, Burgettstown, PA 15021 Phone: 724-947-2251 Fax: 724-947-2477 |