Joe Marshall Pack (NPI# 1679578751, PAC ID# 5294823639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1679578751 |
| PAC ID by PECOS | 5294823639 |
| Professional Enrollment ID | I20101201001206 |
| Full Name | Joe Marshall Pack |
| Organization Legal Name | WVVA HEALTH CARE ALLIANCE PC |
| Address |
200 Arh Ln Suite 102 Low Moor VA 24457 |
| Phone Number | 5408626777 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 2668466558 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490126 | LEWISGALE HOSPITAL ALLEGHANY |
| 510002 | GREENBRIER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3738 Davis Stuart Rd, Lewisburg, WV 24901-9740 | 3046453207 | WVVA HEALTH CARE ALLIANCE PC |
| 200 Arh Ln, Suite 102, Low Moor, VA 24457 | 5408626777 | WVVA HEALTH CARE ALLIANCE PC |
| Organization Legal Name | WVVA HEALTH CARE ALLIANCE PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah Dawn Hellems | Nurse Practitioner | Wvva Health Care Alliance PC | 658 Main St, Suite A, Rainelle, WV 25962-2004 |
| Elizabeth Denise Johnson | Physician Assistant | Wvva Health Care Alliance PC | 756 Athens Rd, Princeton, WV 24740-6261 |
| Corey Roland Weidman | Physician Assistant | Wvva Health Care Alliance PC | 200 Arh Lane, Suite 400, Low Moor, VA 24457-0007 |
| Lynn N Smith | Internal Medicine | Wvva Health Care Alliance PC | 3738 Davis Stuart Rd, Lewisburg, WV 24901-9740 |
| Michele K Ballou | Internal Medicine | Wvva Health Care Alliance PC | 425 Commercial Ave, Clifton Forge, VA 24422-1118 |
| Barry S Brown | Internal Medicine | Wvva Health Care Alliance PC | 200 Arh Lane, Suite 400, Low Moor, VA 24457-0007 |
| Tambra M Pitt | Nurse Practitioner | Wvva Health Care Alliance PC | 3738 Davis Stuart Rd, Lewisburg, WV 24901-9740 |
| Todd Lee Fridley | General Surgery | Wvva Health Care Alliance PC | 200 Arh Lane, Suite 400, Low Moor, VA 24457-0007 |
| Veronica Ashley Smith | Nurse Practitioner | Wvva Health Care Alliance PC | 756 Athens Rd, Princeton, WV 24740-6261 |
| Mary E Mckelvey | Internal Medicine | Wvva Health Care Alliance PC | 1196 Airport Rd, Beaver, WV 25813-9421 |
| Street Address |
200 ARH LN SUITE 102 |
| City | LOW MOOR |
| State | VA |
| Zip | 24457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clare D Weidman | Orthopedic Surgery | Wvva Health Care Alliance PC | 200 Arh Ln, Suite 102, Low Moor, VA 24457 |
| Michael Anthony Covelli | General Surgery | Wvva Health Care Alliance PC | 200 Arh Ln, Suite 102, Low Moor, VA 24457 |
| David E Crandall | Internal Medicine | David E. Crandall, Do, Internal Medicine, Inc. | 200 Arh Ln, Covington, VA 24426-6254 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lorraine Nester | Certified Registered Nurse Anesthetist (crna) | Alleghany Anesthesia Associates | 1 Arh Ln, Low Moor, VA 24457 |
| Jacob M Mathew | Cardiovascular Disease (cardiology) | Ingleside Physician Services, LLC | 1 Arh Lane, Low Moor, VA 24457 |
| Brett Siebenkittel | Physical Therapy | Ridgeline Physical Therapy Inc | 2901 Selma Low Moor Rd, Low Moor, VA 24457 |
| Paul Lee Strausbaugh | Otolaryngology | Alleghany Ear, Nose and Throat PC | I-64 and St Rt, Suite 696, Low Moor, VA 24457 |
| Adetokunbo A Ladenika | Psychiatry | Lewis Gale Physicians LLC | 1 Arc Lane, Low Moor, VA 24457 |
| Ankur S Fadia | Internal Medicine | Ingleside Emergency Group LLC | 1 Arh Ln, Low Moor, VA 24457 |
| Colin A Rose | Diagnostic Radiology | Valley Imaging Consultants Inc. | 1 Arh Ln, Suite 100, Low Moor, VA 24457 |
| John Stadnyk | Emergency Medicine | Ingleside Emergency Group LLC | 1 Arh Ln, Low Moor, VA 24457 |
| Bryan D Clark | Emergency Medicine | Ingleside Emergency Group LLC | 1 Arh Ln, Low Moor, VA 24457 |
| Farid Dakermandji | Anesthesiology | Alleghany Anesthesia Associates | 1 Arh Ln, Low Moor, VA 24457 |
| Find all physicians in zip 24457 | |||
| City | LOW MOOR |
| Zip Code | 24457 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | LOW MOOR + OSTEOPATHIC MANIPULATIVE 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.