WHITEHALL MEDICAL PLLC (NPI# 1659585263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659585263 |
| Entity Type | Organization |
| Organization Name | WHITEHALL MEDICAL PLLC |
| Other Organization Name | RICHARD E VASICEK |
| Practice Address |
60 Roxbury Road White Hall WV 26554-3430 |
| Practice Telephone | 3043636600 |
| Practice Fax Number | 3043637700 |
| Mailing Telephone | 3043636600 |
| Mailing Fax Number | 3043637700 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD E VASICEK (MEMBER SINGLE OWNER) |
| Authorized Official Telephone | 3043636600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5100942930 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810006289 | 05 |
| Other Name | Type Code |
|---|---|
| Richard E Vasicek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659432631 | Whitehall Medical Pllc | General Practice | 177 Middletown Rd, Suite 1, Fairmont, WV 26554-8216 | 2006-12-13 |
| Street Address |
60 ROXBURY ROAD |
| City | WHITE HALL |
| State | WV |
| Zip Code | 26554-3430 |
| 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 | 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 |
|---|---|---|---|---|
| 1780981498 | Tim Wilkin D.o., P.a. | Family Medicine | 8608 Dollarway Rd, Suite C, White Hall, AR 71602-2814 | 2011-02-15 |
| 1679794762 | Timmothy Christian Reece | Family Medicine | 1600 W Holland Ave, Suite 202, White Hall, AR 71602-9636 | 2007-05-02 |
| 1225188121 | Timothee Trevevant Wilkin | Family Medicine | 8608 Dollarway Rd Ste C, White Hall, AR 71602-2814 | 2007-01-11 |
| 1780641274 | R Douglas Coleman | Family Medicine | 1400 Claud Rd, White Hall, AR 71602 | 2006-04-27 |
| 1902888720 | John E. Harris | Family Medicine | 7500 Dollarway Rd, Suite 104, White Hall, AR 71602-3027 | 2005-11-17 |
| 1386637221 | Paul Wayne Davis | Family Medicine | 7400 Dollarway Rd, Ste A, White Hall, AR 71602-3025 | 2005-08-25 |
| 1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
| 1134734049 | Primary Care 360 | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2020-09-09 |
| 1144885047 | Jefferson Hospital Association, Inc. | Family Medicine | 1600 W Holland Ave Ste 202, White Hall, AR 71602-9221 | 2019-05-06 |
| 1972730919 | Family Medicine of White Hall, P.a. | Family Medicine | 1600 W Holland Ave, Suite 202, White Hall, AR 71602-9636 | 2009-06-17 |
| Find all providers in WHITE HALL | ||||
| City | WHITE HALL |
| Zip Code | 26554 |
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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.