Stacy L Commodore (NPI# 1639409824, PAC ID# 6709913122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1639409824 |
| PAC ID by PECOS | 6709913122 |
| Professional Enrollment ID | I20100416000135 |
| Full Name | Stacy L Commodore |
| Organization Legal Name | MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC |
| Address |
2000 Mon Health Medical Park Dr Suite 2001 Morgantown WV 26505-1134 |
| Phone Number | 3047208816 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1951205996 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2000 Mon Health Medical Park Dr, Suite 2001, Morgantown, WV 26505-1134 | 3047208816 | MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC |
| 205 Mary Higginson Ln, Uniontown, PA 15401-2658 | 3047208816 | MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC |
| Organization Legal Name | MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Harold Tabor | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 1400 Hospital Dr, Camc Teays Valley, Hurricane, WV 25526-9202 |
| Robert L Walker Jr. | Anesthesiology | Mid-atlantic Anesthesia Consultants, LLC | 100 Peyton Way, Suite 200, Charleston, WV 25309-8545 |
| Paula Huffman | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 205 Mary Higginson Ln, Uniontown, PA 15401-2658 |
| Albert A Carr Iii | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 100 Peyton Way, Suite 200, Charleston, WV 25309-8545 |
| Ryan Clay Bailey | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 1400 Hospital Dr, Camc Teays Valley, Hurricane, WV 25526-9202 |
| Steven J Monty | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 1400 Hospital Dr, Camc Teays Valley, Hurricane, WV 25526-9202 |
| Amanda Lee Deskins | Anesthesiology | Mid-atlantic Anesthesia Consultants, LLC | 1400 Hospital Dr, Camc Teays Valley, Hurricane, WV 25526-9202 |
| Sitharama Swamy Katragadda | Anesthesiology | Mid-atlantic Anesthesia Consultants, LLC | 205 Mary Higginson Ln, Uniontown, PA 15401-2658 |
| Christina Sivak | Certified Registered Nurse Anesthetist (crna) | Mid-atlantic Anesthesia Consultants, LLC | 1200 J D Anderson Dr, Monongalia General Hopsital, Morgantown, WV 26505-3486 |
| Kenneth Francis Mcneil | Anesthesiology | Mid-atlantic Anesthesia Consultants, LLC | 2000 Mon Health Medical Park Dr, Suite 2001, Morgantown, WV 26505-1134 |
| Street Address |
2000 MON HEALTH MEDICAL PARK DR SUITE 2001 |
| City | MORGANTOWN |
| State | WV |
| Zip | 26505-1134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Arthurs | Obstetrics/gynecology | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2100, Morgantown, WV 26505-1134 |
| Alexis Cox | Nurse Practitioner | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2100, Morgantown, WV 26505-1134 |
| Morgan H Lyons Jr. | Cardiovascular Disease (cardiology) | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2300, Morgantown, WV 26505-1134 |
| Kerri L Hall | Obstetrics/gynecology | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2100, Morgantown, WV 26505-1134 |
| Richard Lee Smith Ii | Cardiovascular Disease (cardiology) | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2300, Morgantown, WV 26505-1134 |
| Kenneth Francis Mcneil | Anesthesiology | Mid-atlantic Anesthesia Consultants, LLC | 2000 Mon Health Medical Park Dr, Suite 2001, Morgantown, WV 26505-1134 |
| Michael Vincent Okeefe | Cardiovascular Disease (cardiology) | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2300, Morgantown, WV 26505-1134 |
| Jude G Guess | Nurse Practitioner | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2300, Morgantown, WV 26505-1134 |
| Nolan Erik Hight | Nurse Practitioner | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2300, Morgantown, WV 26505-1134 |
| Candina Ranee Mccullough | Obstetrics/gynecology | Monongalia County General Hospital Company | 2000 Mon Health Medical Park Dr, Suite 2100, Morgantown, WV 26505-1134 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Czajka | Clinical Social Worker | 1286 Suncrest Towne Ctr, Morgantown, WV 26505 | |
| Susan Bean Neptune | Nurse Practitioner | West Virginia University Medical Corporation | 101 Stadium Dr, Morgantown, WV 26505 |
| Christopher Gilbert Manion | Internal Medicine | West Virginia University Medical Corporation | Medical Ctr Dr, Morgantown, WV 26505 |
| Catherine A Yura | Psychologist, Clinical | Banyan Tree Counseling Group | 1063 Maple Dr, Suite 1, Morgantown, WV 26505-0387 |
| Teresa B Stire | Psychologist, Clinical | Banyan Tree Counseling Group | 1063 Maple Dr, Suite 1, Morgantown, WV 26505-0387 |
| Ashley E Kasardo | Psychologist, Clinical | Banyan Tree Counseling Group | 1063 Maple Dr, Suite 1, Morgantown, WV 26505-0387 |
| Terry L Sigley | Psychologist, Clinical | Fremouw-sigley and Baker Psychological Associates Pllc | 1224 Pineview Dr, Suite B, Morgantown, WV 26505-0708 |
| Edward David Baker | Psychologist, Clinical | Fremouw-sigley and Baker Psychological Associates Pllc | 1224 Pineview Dr, Suite B, Morgantown, WV 26505-0708 |
| Heather A Radcliffe | Clinical Social Worker | Fremouw-sigley and Baker Psychological Associates Pllc | 1224 Pineview Dr, Suite B, Morgantown, WV 26505-0708 |
| William J Fremouw | Clinical Psychologist | Fremouw-sigley Psychological Associates Pllc | 1224 Pineview Dr, Morgantown, WV 26505-0708 |
| Find all physicians in zip 26505 | |||
| City | MORGANTOWN |
| Zip Code | 26505 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MORGANTOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Stacy L Commodore.
| 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.