Sharifeh Farasat
MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC


Address: 120 Medical Park Dr, Bridgeport, WV 26330-9012
Phone: 3046247200

Sharifeh Farasat (NPI# 1053553131, PAC ID# 5597905810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1053553131
PAC ID by PECOS 5597905810
Professional Enrollment ID I20140908002436
Full Name Sharifeh Farasat
Organization Legal Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Address 120 Medical Park Dr
Bridgeport
WV 26330-9012
Phone Number 3046247200
Gender F
Medical School JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2009
Primary Specialty DERMATOLOGY
Group Practice PAC ID 9335046754
Number of Group Practice Members 23
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
510006 UNITED HOSPITAL CENTER

Other Locations

Address Phone Organization
120 Medical Park Dr, Bridgeport, WV 26330-9012 3046247200 MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 90%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_265_overall Biopsy Follow-Up 82%
MIPS_EC_402_overall Tobacco Use and Help with Quitting Among Adolescents 58%

Organization Information

Organization Legal Name MOUNTAIN STATE MEDICAL SPECIALTIES, PLLC
Physicians 23

Physicians with the same organization

Name Specialty Organization Address
Heather Lynn Booth Physician Assistant Mountain State Medical Specialties, Pllc 802 Wayne St, Suite 100, Marietta, OH 45750-3373
Alisha L Varner Physician Assistant Mountain State Medical Specialties, Pllc 204 Mary Higginson Ln, Uniontown, PA 15401-2657
Isha Woofter Family Medicine Mountain State Medical Specialties, Pllc 76 16th St, Suite 100a, Wheeling, WV 26003-3660
Jeffrey B Jackson Dermatology Mountain State Medical Specialties, Pllc 100 Seneca Rd, Elkins, WV 26241-9709
Dominick Ryan Woofter Family Medicine Mountain State Medical Specialties, Pllc 1664 E Pike St, Clarksburg, WV 26301-6011
Kristin B Smucker Physician Assistant Mountain State Medical Specialties, Pllc 165 Scott Ave, Morgantown, WV 26508-8839
John G Hancox Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
William Thomas Corder Allergy/immunology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Charles Bradley Franz Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Nicole A Koci Physician Assistant Mountain State Medical Specialties, Pllc 204 Mary Higginson Ln, Uniontown, PA 15401-2657

Office Location

Street Address 120 MEDICAL PARK DR
City BRIDGEPORT
State WV
Zip 26330-9012

Physicians in the same location

Name Specialty Organization Address
Frances Murray Family Medicine United Physicians Care Inc 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013
John G Hancox Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
James Malone Family Medicine United Physicians Care Inc 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013
William Thomas Corder Allergy/immunology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Charles Bradley Franz Dermatology Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Robbie H Taha Internal Medicine Coastal Carolina Multispecialty Associates LLC 120 Medical Park Dr, Walterboro, SC 29488-5719
Aaradhana Kaul Rheumatology United Hospital Center Inc 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013
Meranda Danielle Chipps Nurse Practitioner United Hospital Center Inc 120 Medical Park Dr, Suite 100, Bridgeport, WV 26330-9013
Stephen F Fryer Ii Family Medicine United Physicians Care Inc 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013
Anthony Catania Podiatry Mountain State Medical Specialties, Pllc 120 Medical Park Dr, Bridgeport, WV 26330-9012
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Vigneshwaran Ramanathan Internal Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Sean T. Keesee Internal Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Adam Michael Penfold Physician Assistant United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Erin Colleen Hawkins Nurse Practitioner United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Keith Iverson Harrop Ii Internal Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Josalyn M Mann Family Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Marcus A Peters Family Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Alexandria D Johnson Nurse Practitioner United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Ruthanne Marie Watkins Family Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Haeley E Harman Family Medicine United Physicians Care Inc 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016
Find all physicians in zip 26330

Competitor

Search similar physicians

City BRIDGEPORT
Zip Code 26330
Specialty DERMATOLOGY
City + Specialty BRIDGEPORT + DERMATOLOGY

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Dataset Information

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.

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