Ryan Gregory Morrison (NPI# 1760702120, PAC ID# 6103013024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1760702120 |
PAC ID by PECOS | 6103013024 |
Professional Enrollment ID | I20101203001200 |
Full Name | Ryan Gregory Morrison |
Organization Legal Name | CABIN CREEK HEALTH CENTER INC |
Address |
107 Koontz Ave Suite 200 Clendenin WV 25045-9581 |
Phone Number | 3045487272 |
Gender | M |
Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
Graduation Year | 2010 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 2466431101 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510022 | CHARLESTON AREA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4602 Maccorkle Ave Se, Charleston, WV 25304-1848 | 3042057535 | CABIN CREEK HEALTH CENTER INC |
6135 Sissonville Dr, Charleston, WV 25312-9444 | 3049841576 | CABIN CREEK HEALTH CENTER INC |
107 Koontz Ave, Suite 200, Clendenin, WV 25045-9581 | 3045487272 | CABIN CREEK HEALTH CENTER INC |
Organization Legal Name | CABIN CREEK HEALTH CENTER INC |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Isaac V Ashley | Family Medicine | Cabin Creek Health Center Inc | 6135 Sissonville Dr, Charleston, WV 25312-9444 |
Grace Falbo | Family Medicine | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
Michael Patrick Bates | Physical Therapy | Cabin Creek Health Center Inc | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 |
Charles H Jacques | General Practice | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
Jessica M Mccolley | Family Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
Sue A Westfall | Family Medicine | Cabin Creek Health Center Inc | 5722 Cabin Creek Rd, Dawes, WV 25054-7700 |
Letitia Tierney | Internal Medicine | Cabin Creek Health Center Inc | 1 Warrior Way, Suite 103, Belle, WV 25015-1356 |
Elizabeth A Mcclellan | Psychiatry | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
Michael R Brumage | Internal Medicine | Cabin Creek Health Center Inc | 4602 Maccorkle Ave Se, Charleston, WV 25304-1848 |
Nafiseh F Woodard | Family Medicine | Cabin Creek Health Center Inc | 6135 Sissonville Dr, Charleston, WV 25312-9444 |
Street Address |
107 KOONTZ AVE SUITE 200 |
City | CLENDENIN |
State | WV |
Zip | 25045-9581 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara M Michael | Family Medicine | Cabin Creek Health Center Inc | 107 Koontz Ave, Suite 200, Clendenin, WV 25045-9581 |
Amy Elizabeth Tickle | Family Medicine | Cabin Creek Health Center Inc | 107 Koontz Ave, Suite 200, Clendenin, WV 25045-9581 |
City | CLENDENIN |
Zip Code | 25045 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CLENDENIN + INTERNAL 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.