Olivia Rae Mohan (NPI# 1114380938, PAC ID# 2860729712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1114380938 |
| PAC ID by PECOS | 2860729712 |
| Professional Enrollment ID | I20190815000054 |
| Full Name | Olivia Rae Mohan |
| Organization Legal Name | BECKLEY EMERGENCY PHYSICIANS LLC |
| Address |
306 Stanaford Rd Beckley WV 25801-3142 |
| Phone Number | 3042553000 |
| Gender | F |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0547353062 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510071 | BLUEFIELD REGIONAL MEDICAL CENTER |
| 510062 | BECKLEY ARH HOSPITAL |
| 511310 | SUMMERS COUNTY ARH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 306 Stanaford Rd, Beckley, WV 25801-3142 | 3042553000 | BECKLEY EMERGENCY PHYSICIANS LLC |
| 115 Summers Hospital Rd, Hinton, WV 25951-5172 | 3044661000 | SUMMERS EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BECKLEY EMERGENCY PHYSICIANS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac P Mills | Family Medicine | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Weston Childers | General Practice | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Matthew Allen Davis | Family Medicine | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Darrell W Shrewsbury | Nurse Practitioner | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Margaret A Staggers | Emergency Medicine | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Rajesh R Nanda | Emergency Medicine | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Jennifer Lambert | Nurse Practitioner | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Street Address |
306 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip | 25801-3142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita C Law | Certified Registered Nurse Anesthetist (crna) | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Isaac P Mills | Family Medicine | Beckley Emergency Physicians LLC | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Fausto Doming Imbing Jr. | Pathology | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Manubhai N Patel | Diagnostic Radiology | Beckley Medical Imaging Inc | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Irene M Wasylyk | Internal Medicine | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Thomas Anthony Hamlett | Certified Registered Nurse Anesthetist (crna) | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Amanda Dillen | Certified Registered Nurse Anesthetist (crna) | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Bharat G Patel | Diagnostic Radiology | Beckley Medical Imaging Inc | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Antoine Katiny | Internal Medicine | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Mary Zorychta | Certified Registered Nurse Anesthetist (crna) | Appalachian Regional Healthcare Inc. | 306 Stanaford Rd, Beckley, WV 25801-3142 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Landic Oyco | Internal Medicine | Appalachian Mountains Medical LLC | 105 S Eisnhower Dr, Beckley, WV 25801 |
| Shirkant Bembalkar | Internal Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Scott C Lostetter | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Gina Jereza-harris | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Kyle Muscari | General Practice | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Richard Dwight Meadows Jr. | General Practice | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Ryan Donald Newell | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Johnny G Walker Iii | Family Medicine | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Roy R Wolfe Jr. | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Juddson D Lindley | Obstetrics/gynecology | Community Health Systems Inc | 202 Bill Baker Way, Beckley, WV 25801-1506 |
| Find all physicians in zip 25801 | |||
| City | BECKLEY |
| Zip Code | 25801 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BECKLEY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Olivia Rae Mohan.
| 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.