ROBERT EUGENE OLEXO (NPI# 1518968031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518968031 |
Entity Type | Individual |
Full Name | ROBERT EUGENE OLEXO |
Credential | DO |
Practice Address |
176 Medical Center Dr Rainelle WV 25962-1064 |
Practice Telephone | 3044386188 |
Practice Fax Number | 3044386819 |
Mailing Telephone | 3044386188 |
Mailing Fax Number | 3044386819 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2016-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 1951 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MOUNTAIN STATE BCBS | 001718185 | 01 | |
WV | WV COMPENSATION | 55035705700 | 01 |
HEALTH PLAN OF UPPER OH V | 1951 | 01 | |
WV | 3810000336 | 05 | |
OH | 2412179 | 05 |
Street Address |
176 MEDICAL CENTER DR |
City | RAINELLE |
State | WV |
Zip Code | 25962-1064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417023 | Kenneth Earl Gwinn Jr. | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-11-05 |
1205457397 | Sarah A Ward | Registered Nurse | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-04-30 |
1184254930 | Carrie E Jarrell | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2020-01-21 |
1487298584 | Rhonda Lea Witt | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-10-31 |
1093368201 | Brittany Nicole Parker | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-07-17 |
1598322349 | Samantha Lynn Byrd | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-05-28 |
1295398402 | Sherri Sue Faulkiner | Nurse Practitioner | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-04-15 |
1396204251 | Jennifer Lynn Ratliff | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2019-03-19 |
1316454549 | Destiny Stout | Social Worker | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2018-01-09 |
1093230179 | Erin Justice | Counselor | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2017-08-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235622168 | Hannah Dawn Hellems | Nurse Practitioner | 658 Main St Ste A, Rainelle, WV 25962 | 2018-06-14 |
1528572070 | Sandra Arretha Swartz | Technician | 164 Fayette Avenue, Rainelle, WV 25962 | 2017-11-20 |
1912256959 | Jessica Belcher | Pharmacist | 518 Park Center, Rainelle, WV 25962 | 2012-09-06 |
1215946009 | Vicki Bowers Kerwin | Nurse Practitioner | 1401 Earl Core Road, Suite D, Morgantown, WV 25962 | 2006-08-08 |
1538331053 | Western Greenbrier Internal Medicine Pllc | Internal Medicine | 512 Main Street, Rainelle, WV 25962 | 2008-03-25 |
1235741497 | Teresa Louise Young | Technician | 227 Cherry St, Rainelle, WV 25962-1003 | 2020-08-19 |
1730626052 | Kaleb Ellison | Student in an Organized Health Care Education/Training Program | 227 Cherry St, Rainelle, WV 25962-1003 | 2017-01-24 |
1073125209 | Bridgett J Clark | Technician | 180 Chestnut St, Rainelle, WV 25962-1006 | 2020-08-19 |
1730172297 | Pamela S Butcher | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2005-08-30 |
1942681390 | Heather Gail Heaster | Dentist | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2015-06-11 |
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Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609411974 | Raven Wood Medical, Pllc | Family Medicine | 660 Sunset Dr, Rainelle, WV 25962-9412 | 2019-11-11 |
1750660502 | Charles Robert Burdette Jr. | Family Medicine | 1515 Snowden Rd, Rainelle, WV 25962-6585 | 2011-08-11 |
1730172297 | Pamela S Butcher | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2005-08-30 |
1558365171 | David P Allen | Family Medicine | 1102 Main St, Ste A, Rainelle, WV 25962-1253 | 2005-06-10 |
1659711166 | Kelly E Allen-lopez | Family Medicine | 1102 Main St, Rainelle, WV 25962-1297 | 2013-06-28 |
1376837757 | Lisa Marie Kessler | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2011-06-03 |
1083889323 | Ashley Marie Fritzius | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2008-04-28 |
1851407142 | Christopher A. Martin | Family Medicine | 645 Kanawha Ave, Rainelle, WV 25962-1013 | 2006-08-21 |
1326071184 | James David Scott | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2006-07-07 |
1528050655 | Rainelle Medical Center, Inc. | Family Medicine | 176 Medical Center Dr, Rainelle, WV 25962-1064 | 2005-08-16 |
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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.