MEDITELECARE OF WEST VIRGINIA PLLC (NPI# 1235631888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235631888 |
| Entity Type | Organization |
| Organization Name | MEDITELECARE OF WEST VIRGINIA PLLC |
| Practice Address |
5400 Big Tyler Rd # D Charleston WV 25313-1178 |
| Mailing Address |
Po Box 1595 Middletown CT 06457-8095 |
| Practice Telephone | 8607886404 |
| Practice Fax Number | 8608290495 |
| Mailing Telephone | 8607886404 |
| Mailing Fax Number | 8608290495 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 8607886404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
5400 BIG TYLER RD # D |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25313-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869183 | Shante Hamrick | Technician | 5130 Waycross Drive, Cross Lanes, WV 25313 | 2019-09-11 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1902221310 | David Alan Haynes Jr. | Physical Therapist | 314 Goff Mountain Rd. (ste 13), Ste 13, Cross Lanes, WV 25313 | 2014-02-20 |
| 1073897344 | Rhonda M Knight | Physical Therapist | 314 Goff Mtn. Rd., Suite 13, Cross Lanes, WV 25313 | 2011-10-05 |
| 1083853683 | Mitri A. Ghareeb, Dds, PC | Dentist | 5480 Big Tyler Road, Suite 1, Cross Lanes, WV 25313 | 2009-02-05 |
| 1295944460 | John C. Taylor | Pharmacist | 5455f Big Tyler Rd., Cross Lanes, WV 25313 | 2007-05-22 |
| 1194890657 | Linda O Workman | Psychologist | 202 Glass Drive, Cross Lanes, WV 25313 | 2006-11-21 |
| 1306910104 | William Albert Reynolds IIi | Dentist | 5304 Koontz Dr, Cross Lanes, WV 25313 | 2006-11-20 |
| 1770676413 | Mark S. Calfee, Dc | Chiropractor | 5390 Big Tyler Rd, Cross Lanes, WV 25313 | 2006-10-02 |
| 1578663589 | Dewey Wilson Mann Jr. | Dentist | 104 Goff Mtn Rd, Cross Lanes, WV 25313 | 2006-09-22 |
| Find all providers in zip 25313 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083927 | Kimberly Adele Hughes | Psychologist | 310 Cambridge Pointe, Charleston, WV 25309-8596 | 2020-11-04 |
| 1912537424 | Miyuki N. Ege | Psychologist | 333 Laidley St Fl 4e, Charleston, WV 25301-1614 | 2020-01-23 |
| 1487212742 | Alysha Buonerba | Psychologist | 211 King St Ste 206, Charleston, SC 29401-3184 | 2019-06-03 |
| 1336606110 | Ronald Ray Sellers | Psychologist | 2308 Andover Pl, Charleston, IL 61920-3808 | 2019-02-27 |
| 1497212435 | Katherine Elizabeth Bischoff | Psychologist | 388 Huger St, Charleston, SC 29403-4126 | 2019-02-26 |
| 1326512088 | Roper Saint Francis Physicians Network | Psychologist | 2097 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5739 | 2019-01-16 |
| 1184191611 | Katherine Knies | Psychologist | 109 Bee St. (116), Charleston, SC 29401-5703 | 2018-11-02 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1023527504 | Rosaura Orengo-aguayo | Psychologist | 67 President St # St861, Charleston, SC 29425-5712 | 2017-09-27 |
| 1073062113 | Amanda K. Gilmore | Psychologist | 67 President St # 861, Charleston, SC 29425-5712 | 2016-09-30 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25313 |
Please comment or provide details below to improve the information on MEDITELECARE OF WEST VIRGINIA PLLC.
| 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.