Enrique C Sta Ana Jr. (NPI# 1295840593, PAC ID# 3375676752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1295840593 |
PAC ID by PECOS | 3375676752 |
Professional Enrollment ID | I20100805000593 |
Full Name | Enrique C Sta Ana Jr. |
Organization Legal Name | VALLEY HEALTH SYSTEMS, INC |
Address |
1246 Mcclellan Hwy Harts WV 25524-9524 |
Phone Number | 3043101246 |
Gender | M |
Graduation Year | 1969 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | GENERAL SURGERY |
Group Practice PAC ID | 9931017969 |
Number of Group Practice Members | 47 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510022 | CHARLESTON AREA MEDICAL CENTER |
510031 | ST FRANCIS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1246 Mcclellan Hwy, Harts, WV 25524-9524 | 3043101246 | VALLEY HEALTH SYSTEMS, INC |
2585 3rd Ave, Huntington, WV 25703-1642 | 30469713965157 | VALLEY HEALTH SYSTEMS, INC |
1100 Hospital Dr, Hurricane, WV 25526-8712 | 3047578683 | VALLEY HEALTH SYSTEMS, INC |
Organization Legal Name | VALLEY HEALTH SYSTEMS, INC |
Physicians | 49 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lisa D Rakes | Nurse Practitioner | Valley Health Systems, Inc | 100 Pioneer Rd, Wayne, WV 25570-9504 |
Robin L Porter | Qualified Audiologist | Valley Health Systems, Inc | 6350 Us Route 60 E, Barboursville, WV 25504-1232 |
Michael Hackman | Psychiatry | Valley Health Systems, Inc | 3377 Us Route 60, Huntington, WV 25705-2837 |
Mark F Sheridan | Otolaryngology | Valley Health Systems, Inc | 3 Stonecrest Dr, Huntington, WV 25701-9392 |
Linda A Eakle | Family Practice | Valley Health Systems, Inc | 1509 W Main St, Milton, WV 25541-1274 |
Herbert Wesley Myers | Obstetrics/gynecology | Valley Health Systems, Inc | 2585 3rd Ave, Huntington, WV 25703-1642 |
Rafael Evencio Molina Jr. | Obstetrics/gynecology | Valley Health Systems, Inc | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 |
Richard Osborn Booth Jr. | Obstetrics/gynecology | Valley Health Systems, Inc | 2585 3rd Ave, Huntington, WV 25703-1642 |
Aaron Lee Scaife | Obstetrics/gynecology | Valley Health Systems, Inc | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 |
Amy Albrecht Marsteller | Family Medicine | Valley Health Systems, Inc | 3377 Us Route 60, Huntington, WV 25705-2837 |
Street Address |
1246 MCCLELLAN HWY |
City | HARTS |
State | WV |
Zip | 25524-9524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrea Kellar | Obstetrics/gynecology | Valley Health Systems, Inc | 1246 Mcclellan Hwy, Harts, WV 25524-9524 |
Sarah Beth Schindler | Nurse Practitioner | Valley Health Systems, Inc | 1246 Mcclellan Hwy, Harts, WV 25524-9524 |
City | HARTS |
Zip Code | 25524 |
Specialty | FAMILY MEDICINE |
City + Specialty | HARTS + 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.