M I DABABNAH MD INC (NPI# 1457476525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457476525 |
| Entity Type | Organization |
| Organization Name | M I DABABNAH MD INC |
| Practice Address |
856 S. Ritter Dr. Beaver WV 25813 |
| Mailing Address |
Po Box 247 856 S. Ritter Dr Beaver WV 25813-0247 |
| Practice Telephone | 3042554845 |
| Practice Fax Number | 3042554845 |
| Mailing Telephone | 3042554845 |
| Mailing Fax Number | 3042554845 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. MOUSA I DABABNAH (PRESIDENT) |
| Authorized Official Telephone | 3042554845 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 10670 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | ME | 8750169013 | 01 |
| WV | UMWA | 0134848 | 01 |
| WI | 3810009229 | 05 |
| Street Address |
856 S. RITTER DR. |
| City | BEAVER |
| State | WV |
| Zip Code | 25813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| Find all providers in zip 25813 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
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| 1154465086 | Valley Medical Facilitiesdbathemedicalcenter, Short Procedure Unit | Clinic/Center | The Medical Center, Beaver Pa, 1000 Dutch Ridge Road, Beaver, PA 15009-9727 | 2007-02-16 |
| 1487631156 | Beaver County Memorial Hospital | Clinic/Center | 718 Ave. A, Beaver, OK 73932-3101 | 2005-12-23 |
| 1790941508 | Beaver Valley Foot Clinic, PC | Clinic/Center | 500 Market St, Suite 101, Beaver, PA 15009-2998 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029401 | Christopher Martin | Clinic/Center | 143 Trump Ave, Oak Hill, WV 25901-2424 | 2020-10-08 |
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| 1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
| 1134616626 | Joan E Strawson, LLC | Clinic/Center | 1298 W Washington St, Harpers Ferry, WV 25425-6300 | 2018-04-19 |
| 1952815268 | Rainelle Medical Center, Inc. | Clinic/Center | Po Box 89, Hico, WV 25854-0089 | 2017-11-22 |
| 1942719778 | West Virginia Neurodiagnostics, LLC | Clinic/Center | 1399 Stewartstown Rd Ste 240, Morgantown, WV 26505-3487 | 2017-09-25 |
| 1386160497 | Stats and Strides Therapeutic Equine Center | Clinic/Center | 519 New Quarter Rd, Meadowbrook, WV 26404 | 2017-08-21 |
| 1013456094 | New Beginnings Drug Treatment Center, Inc. | Clinic/Center | 4855 Maccorkle Ave Sw, South Charleston, WV 25309-1331 | 2017-02-23 |
| 1629520598 | New River Health Association, Inc | Clinic/Center | 269 Martin Lane, Mount Hope, WV 25880 | 2016-10-26 |
| 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.