WHEELING HOSPITAL INC (NPI# 1316023450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316023450 |
| Entity Type | Organization |
| Organization Name | WHEELING HOSPITAL INC |
| Other Organization Name | SHADYSIDE HEALTH CENTER |
| Practice Address |
4000 Central Ave Shadyside OH 43947-1209 |
| Mailing Address |
1 Medical Park Business Office Nttc Janice Riesmeyer Wheeling WV 26003-6397 |
| Practice Telephone | 7406719357 |
| Practice Fax Number | 7406719739 |
| Mailing Telephone | 3042433124 |
| Mailing Fax Number | 3042431131 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | JANICE ELAINE RIESMEYER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3042433124 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHEELING HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shadyside Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366905986 | Wheeling Hospital Inc | Clinic/Center | 253 West Virginia State Route 2, New Martinsville, WV 26155 | 2019-04-10 |
| 1619016151 | Wheeling Hospital Inc | Clinical Medical Laboratory | 20 Medical Park Ste 306, Wheeling, WV 26003-6390 | 2007-02-05 |
| 1801940960 | Wheeling Hospital Inc | Clinical Medical Laboratory | 30 Medical Park Ste 230, Wheeling, WV 26003-6391 | 2007-01-23 |
| 1588632251 | Wheeling Hospital Inc | Pharmacy | 63 Highway 7 S, Powhatan Point, OH 43942-1143 | 2006-03-09 |
| 1114913449 | Wheeling Hospital Inc | Nursing Facility/Intermediate Care Facility | 236 Hullihen Pl, Wheeling, WV 26003-8311 | 2005-09-22 |
| 1104821305 | Wheeling Hospital Inc | General Acute Care Hospital | 1 Medical Park, Wheeling, WV 26003 | 2005-06-15 |
| 1447876487 | Wheeling Hospital Inc | Clinic/Center | 1076 E Bethlehem Blvd, Wheeling, WV 26003-4961 | 2020-06-24 |
| 1770103475 | Wheeling Hospital Inc | Family Medicine | 107 Plaza Dr, Saint Clairsville, OH 43950-8786 | 2020-04-22 |
| 1417597709 | Wheeling Hospital Inc | Pharmacy | 1025 Market St, Wheeling, WV 26003-2944 | 2020-01-14 |
| 1710540968 | Wheeling Hospital Inc | Colon & Rectal Surgery | 76 16th St, Wheeling, WV 26003-3660 | 2019-04-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WHEELING HOSPITAL INC | 1 Medical Park, Wheeling, WV 26003-6379 |
| Street Address |
4000 CENTRAL AVE |
| City | SHADYSIDE |
| State | OH |
| Zip Code | 43947-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689168767 | Wheeling Hospital Inc | Pharmacy | 4000 Central Ave, Shadyside, OH 43947-1209 | 2018-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520465 | Rebecca Louise Baker | Technician | 4075 Highland Avenue, Shadyside, OH 43947 | 2019-10-25 |
| 1205270485 | Sheryl Lynn Miller | Nurse Practitioner | 4000 Central Avenue, Shadyside Health Center, Shadyside, OH 43947 | 2013-04-18 |
| 1891997029 | Helen Carol Higgins | Home Health Aide | 52180 Wegee Rd, Shadyside, OH 43947 | 2007-06-01 |
| 1386851442 | Innovative Work Solutions, LLC | Physical Therapist | 24 West 39th Street, Room 201, Shadyside, OH 43947 | 2007-05-17 |
| 1932295797 | Patrick W Long | Dentist | 3775 Central Ave, Shadyside, OH 43947 | 2006-10-05 |
| 1194796946 | Anna Jose Warnock | Dentist | 3775 Central Ave., Shadyside, OH 43947 | 2006-01-30 |
| 1023090883 | Zandex Health Care Corporation | Skilled Nursing Facility | 60583 State Route 7, Shadyside, OH 43947 | 2005-11-17 |
| 1831639236 | Behavioral Health Counseling, LLC | Counselor | 355 W 43rd St, Shadyside, OH 43947-1022 | 2017-03-03 |
| 1699219386 | Jessica Lynn Powell | Registered Nurse | 552 W 45th St, Shadyside, OH 43947-1039 | 2016-12-14 |
| 1649571613 | Kathleen Ann Krupa | Nurse Practitioner | 4355 Monroe St, Shadyside, OH 43947-1070 | 2010-11-08 |
| Find all providers in zip 43947 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093183204 | Shadyside Clinic, LLC | Clinic/Center | 3948 Central Ave, Shadyside, OH 43947-1310 | 2015-09-03 |
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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.