PRIMARY ONCOLOGY NETWORK PLLC (NPI# 1588610570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588610570 |
| Entity Type | Organization |
| Organization Name | PRIMARY ONCOLOGY NETWORK PLLC |
| Practice Address |
1325 Locust Ave Ste 15 Fairmont WV 26554-1435 |
| Mailing Address |
Po Box 1286 Fairmont WV 26555-1286 |
| Practice Telephone | 3043660111 |
| Practice Fax Number | 3043662099 |
| Mailing Telephone | 3043660111 |
| Mailing Fax Number | 3043662099 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | JOHN JURJUS AZAR (OWNER) |
| Authorized Official Telephone | 3043660111 |
| Authorized Official Credential | MD, FACP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 17192 | WV | Laboratories |
| N | 332900000X | Non-Pharmacy Dispensing Site | 26308 | WV | Suppliers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0204568000 | 05 | |
| WV | RAILROAD MEDICARE | CH6378 | 01 |
| Street Address |
1325 LOCUST AVE STE 15 |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538505722 | Fairmont Regional Cancer Center | Internal Medicine | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2013-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912272931 | Wheeling Hospital, Inc. | Internal Medicine | 1423 Commerce St, Wellsburg, WV 26070-1320 | 2012-03-09 |
| 1558685172 | Sanaz Nicky Soltani | Internal Medicine | 2000 Foundation Way Ste 2600, Martinsburg, WV 25401-9197 | 2010-03-25 |
| 1164689618 | Hemamalini Karpurapu | Internal Medicine | 651 Colliers Way Ste 401, Weirton, WV 26062-5054 | 2008-05-21 |
| 1528267952 | Ulas Darda Bayraktar | Internal Medicine | 3825 Teays Valley Rd Ste 5, Hurricane, WV 25526-9614 | 2007-07-16 |
| 1245310366 | Wojciech Kazimierz Dolata | Internal Medicine | 801 Gorman Ave, Elkins, WV 26241-3147 | 2006-10-16 |
| 1609970136 | Mukund K Shah M D Inc | Internal Medicine | 1903 Ann St, Parkersburg, WV 26101-2504 | 2006-09-13 |
| 1073529616 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2006-08-01 |
| 1588688899 | Timothy Keefe Bowers Sr. | Internal Medicine | 2008 Professional Court, Martinsburg, WV 25401 | 2006-07-27 |
| 1912976507 | Donald R Fleming Jr. | Internal Medicine | 801 Harrison Ave, Elkins, WV 26241-3607 | 2006-03-16 |
| 1942285093 | Julia Margarita Cruz | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2005-12-13 |
| 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.