STACEY LIN BROWN-BROCKLEHURST (NPI# 1427233634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427233634 |
| Entity Type | Individual |
| Full Name | STACEY LIN BROWN-BROCKLEHURST |
| Credential | MD |
| Practice Address |
1 Medical Park Wheeling WV 26003-6379 |
| Practice Telephone | 3042433000 |
| Mailing Telephone | 3042433000 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
24470 | WV | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
35097685 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL PARK |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-6379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821305 | Wheeling Hospital Inc | General Acute Care Hospital | 1 Medical Park, Wheeling, WV 26003 | 2005-06-15 |
| 1356940548 | Kaley Anne Kuzma | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-10-20 |
| 1033724240 | Kyle Louis Pytlak | Dermatology | 1 Medical Park, Wheeling, WV 26003-6379 | 2020-09-14 |
| 1932713559 | Danielle Elyse Keyser | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-09-01 |
| 1063022572 | Ryan P Hunker | Physical Therapist | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-08-10 |
| 1306476254 | Jacquelyn Mcclain Marshall | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2020-01-20 |
| 1427696889 | Debra Jo Zeroski | Nurse Practitioner | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-12-17 |
| 1912548553 | Sierra Nicole Moore | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-10-04 |
| 1861048035 | Jordan Rachelle Robinson | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6300 | 2019-08-14 |
| 1659927101 | Nicole Yvonne Larue | Occupational Therapist | 1 Medical Park, Wheeling, WV 26003-6379 | 2019-08-12 |
| Find all providers in the same location | ||||
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444207 | Raymond Joseph De Cuba II | Family Medicine | 10 Medical Park Ste 203, Wheeling, WV 26003-6389 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164828224 | Wvu Medical Corporation | Family Medicine | 6040 University Town Center Drive, Morgantown, WV 26501-2421 | 2014-11-17 |
| 1518305614 | Ashley L Yelinek | Family Medicine | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330-9038 | 2013-06-11 |
| 1164608121 | Peter J Alasky | Family Medicine | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-01-21 |
| 1982678538 | Gregory A Elkins | Family Medicine | 7400 Lynn Ave, Hamlin, WV 25523-1138 | 2006-02-13 |
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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.