RICHARD T.C. WAN (NPI# 1023116654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023116654 |
| Entity Type | Individual |
| Full Name | RICHARD T.C. WAN |
| Credential | M.D. |
| Practice Address |
101 W Roberts St Morgantown KY 42261-7942 |
| Practice Telephone | 2705263841 |
| Practice Fax Number | 2705262651 |
| Mailing Telephone | 2705263841 |
| Mailing Fax Number | 2705262651 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 16599 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64165996 | 05 |
| Street Address |
101 W ROBERTS ST |
| City | MORGANTOWN |
| State | KY |
| Zip Code | 42261-7942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942540018 | Lena M Gokey | Nurse Practitioner | 101 W Roberts St, Morgantown, KY 42261-7942 | 2013-02-26 |
| 1285888792 | Curtina Leigh Beliles | Physician Assistant | 101 W Roberts St, Morgantown, KY 42261-7942 | 2008-11-11 |
| 1629141817 | Shalini Chhabra | Internal Medicine | 101 W Roberts St, Morgantown, KY 42261-7942 | 2006-11-16 |
| 1104996776 | Richard T.c. Wan, M.d.,psc | Preferred Provider Organization | 101 W Roberts St, Morgantown, KY 42261-7942 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629566500 | Kentucky Christian Recovery, LLC | Substance Abuse Rehabilitation Facility | 1118 S. Main St., Suite 3, Morgantown, KY 42261 | 2018-04-26 |
| 1437663846 | Ack Healthcare Management LLC | Nurse Practitioner | 1116 S Main St Ste 5, Morgantown, KY 42261 | 2017-11-21 |
| 1477076735 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 205 W Gl Smith St, Morgantown, KY 42261 | 2017-07-19 |
| 1194113720 | Hank S Washer | Pharmacist | 205 West Gl Smith Street, Morgantown, KY 42261 | 2015-01-06 |
| 1114330867 | Shannon Logan | Pharmacist | 205 West G. L. Smith Street, Morgantown, KY 42261 | 2014-06-10 |
| 1215227897 | Robert Henry Campbell | Pharmacist | 205 West G.l. Smith St., Morgantown, KY 42261 | 2011-04-15 |
| 1285924076 | Dale Ervin Beaty | Pharmacist | 205 West G L Smith Street, Morgantown, KY 42261 | 2011-04-13 |
| 1003121153 | Sharon J Douglas | Marriage & Family Therapist | 213 West Ohio St., Morgantown, KY 42261 | 2010-08-13 |
| 1750555033 | Burt & Jackson Dmd Pllc Bluegrass Oral Health Center of Morgantown | Dentist | 304 West Ohio St., Morgantown, KY 42261 | 2008-04-17 |
| 1619168994 | Lp Morgantown LLC | Durable Medical Equipment & Medical Supplies | 201 S Warren St, Morgantown, KY 42261 | 2007-08-05 |
| Find all providers in zip 42261 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728878 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 405 Holly Ln, Morgantown, WV 26508-4890 | 2017-08-30 |
| 1124553722 | Arielle Elizabeth Placke | Family Medicine | 6000 Memorial Church Dr Ste A, Morgantown, WV 26501-1503 | 2017-04-21 |
| 1598296642 | Alyson Margaret Leo | Family Medicine | 1 Medical Center Dr Rm 204, Morgantown, WV 26506-1200 | 2017-03-21 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1811300247 | Elizabeth Joya | Family Medicine | 215 Don Knotts Blvd Ste 130, Morgantown, WV 26501-6734 | 2014-06-03 |
| 1134423866 | Joleen Liburd | Family Medicine | 1751 Earl L Core Rd, Morgantown, WV 26505-5891 | 2011-01-10 |
| 1336392919 | Douglas Andrew Darbro | Family Medicine | 5693 S Bear Wallow Rd, Suite 100, Morgantown, IN 46160-9315 | 2008-10-28 |
| 1467667030 | Wvu Med Corp (mdgrp) | Family Medicine | 255 Scott Ave, Morgantown, WV 26508-8803 | 2007-05-14 |
| 1528273752 | Uha Family Medicine (paasgrp) | Family Medicine | 4th Floor Ruby Mem, Morgantown, WV 26506 | 2007-05-11 |
| 1275670499 | Ronald Vandegriff | Family Medicine | 23 Pennwood Dr, Morgantown, PA 19543-8821 | 2007-01-30 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 42261 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.