Robert W Phares (NPI# 1083666598, PAC ID# 1254323058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083666598 |
| PAC ID by PECOS | 1254323058 |
| Professional Enrollment ID | I20040401000420 |
| Full Name | Robert W Phares |
| Organization Legal Name | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Address |
104 Parkview Dr Grantsville MD 21536-1086 |
| Phone Number | 8446528730 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436152493 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210017 | GARRETT COUNTY MEMORIAL HOSPITAL |
| 511312 | PRESTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 Parkview Dr, Grantsville, MD 21536-1086 | 8446528730 | WESTERN MARYLAND HEALTH CARE CORPORATION |
| 1027 Memorial Dr, Oakland, MD 21550-4343 | 30153333003081 | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Organization Legal Name | WESTERN MARYLAND HEALTH CARE CORPORATION |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Maynard | Nurse Practitioner | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Barbara A Monn | Physician Assistant | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Lori A Gregory | Nurse Practitioner | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Jessica E Nice | Clinical Social Worker | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Kelly Ann Bailey | Psychologist, Clinical | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Sara Michelle Cockerham | Clinical Social Worker | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Jessica Nicole Meyers | Nurse Practitioner | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Shawn E Long | Family Medicine | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Taylor Ryan Crabtree | Nurse Practitioner | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Michelle Kelly Dixon | Nurse Practitioner | Western Maryland Health Care Corporation | 1027 Memorial Dr, Oakland, MD 21550-4343 |
| Street Address |
104 PARKVIEW DR |
| City | GRANTSVILLE |
| State | MD |
| Zip | 21536-1086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Elizabeth Stonesifer | Nurse Practitioner | Specialty Physicians of Garrett | 32 Corporate Dr, Grantsville, MD 21536-1259 |
| Leigh S Knotts | Psychologist, Clinical | Specialty Physicians of Garrett | 32 Corporate Dr, Grantsville, MD 21536-1259 |
| Heather Nicole Marks | Nurse Practitioner | Specialty Physicians of Garrett | 32 Corporate Dr, Grantsville, MD 21536-1259 |
| Leigh Ann Steele | Nurse Practitioner | Specialty Physicians of Garrett | 32 Corporate Dr, Grantsville, MD 21536-1259 |
| Brianna Nicole Kingsbury | Nurse Practitioner | Specialty Physicians of Garrett | 32 Corporate Dr, Grantsville, MD 21536-1259 |
| Patricia Stafford | Nurse Practitioner | Goodwill Mennonite Home, Inc. | 891 Dorsey Hotel Rd, Grantsville, MD 21536-1369 |
| Cathy A Cimaglia | Podiatry | 891 Dorsey Hotel Rd, Grantsville, MD 21536-1369 | |
| Robin L Bissell | General Practice | Robin Bissell, M.d, LLC | 124 Miller St, Grantsville, MD 21536-1383 |
| Rachel M Smith | Chiropractic | Mankamyer Chiropractic and Rehabilitation PC | 11349 National Pike, Grantsville, MD 21536-2015 |
| Kenneth R Mankamyer | Chiropractic | Mankamyer Chiropractic and Rehabilitation PC | 11349 National Pike, Grantsville, MD 21536-2015 |
| Find all physicians in zip 21536 | |||
| City | GRANTSVILLE |
| Zip Code | 21536 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRANTSVILLE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.