DR. RYAN JOHN WAKIM (NPI# 1093033789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093033789 |
| Entity Type | Individual |
| Full Name | DR. RYAN JOHN WAKIM |
| Credential | M.D. |
| Practice Address |
1100 Main St Ste 104 Wheeling WV 26003-2737 |
| Mailing Address |
Po Box 4567 Star City WV 26504-4567 |
| Practice Telephone | 3044605123 |
| Practice Fax Number | 8007348498 |
| Mailing Telephone | 3044605123 |
| Mailing Fax Number | 8007348498 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD458987 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24727 | WV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1100 MAIN ST STE 104 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055016 | Kendyl A Kimberly | Counselor | 1100 Main St Ste 104, Wheeling, WV 26003-2737 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427337534 | Nihit Gupta | Psychiatry & Neurology | 2000 Eoff St Ste 501, Wheeling, WV 26003-3823 | 2011-08-07 |
| 1962659441 | Glenn Frederick Elliott Sr. | Psychiatry & Neurology | Rr 3 Box 198, Wheeling, WV 26003-9419 | 2008-08-26 |
| 1801909510 | Paul Basil Papadimitriou | Psychiatry & Neurology | 2101 Jacob St Ste 501, Wheeling, WV 26003-3800 | 2006-08-16 |
| 1457357261 | Park Valley Behavioral Health Care, Pllc | Psychiatry & Neurology | 2000 Eoff St, Ste 704, Wheeling, WV 26003-3823 | 2005-06-27 |
| 1457665325 | Sorin N Nica | Psychiatry & Neurology | 2101 Jacob St Ste 501, Wheeling, WV 26003-3800 | 2010-08-03 |
| 1275666570 | Shakuntala Modi | Psychiatry & Neurology | 1025 Main St, Wheeling, WV 26003 | 2007-03-14 |
| 1467592378 | Maria R Moreno | Psychiatry & Neurology | 2000 Eoff St, Suite 704, Wheeling, WV 26003-3823 | 2007-02-08 |
| 1184726804 | Steven Lynn Corder | Psychiatry & Neurology | 2121 Eoff St, Wheeling, WV 26003-3805 | 2006-09-02 |
| 1841296654 | Alfredo A Aguirre | Psychiatry & Neurology | 2000 Eoff St, Ste 704, Wheeling, WV 26003-3823 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093362840 | Devaraj Behavioral Healthcare Pllc | Psychiatry & Neurology | 1109 Jefferson Rd Ste C, South Charleston, WV 25309-8815 | 2019-08-26 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1104219070 | John Wilson Hendleman | Psychiatry & Neurology | 333 Laidley St Fl 4w, Charleston, WV 25301-1614 | 2015-03-16 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| 1871858340 | Rajesh Kumar Mehta | Psychiatry & Neurology | 300 56th Street, S.e., Charleston, WV 25304-2308 | 2012-07-10 |
| 1043572860 | Dhashaini Nadarajah | Psychiatry & Neurology | 500 Poplar St Ste 204, South Charleston, WV 25309 | 2012-06-08 |
| 1629344858 | Kevin Douglas Junkins | Psychiatry & Neurology | 65 Professional Pl Ste 102, Bridgeport, WV 26330 | 2012-04-02 |
| 1700166659 | Carruth Center-ssc | Psychiatry & Neurology | 700 College Avenue, 3rd Floor, Morgantown, WV 26506-6422 | 2011-08-24 |
| 1255656468 | Scott Gilchrist | Psychiatry & Neurology | 135 Staunton Dr, Weston, WV 26452-5604 | 2010-03-30 |
| 1871828699 | Noor Ahmed Kazi | Psychiatry & Neurology | 3389 Winfield Rd, Suite 8, Winfield, WV 25213-9370 | 2009-10-13 |
| Find all providers with the same taxonomy | ||||
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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.