Bruce A Gorby (NPI# 1659319457, PAC ID# 8426027715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659319457 |
| PAC ID by PECOS | 8426027715 |
| Professional Enrollment ID | I20041004000099 |
| Full Name | Bruce A Gorby |
| Organization Legal Name | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
| Address |
533 Hackers Creek Rd Jane Lew WV 26378-8394 |
| Phone Number | 3048848941 |
| Gender | M |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284530551 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510038 | STONEWALL JACKSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 | 3048848941 | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
| Organization Legal Name | STONEWALL JACKSON MEMORIAL HOSPITAL COMPANY |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khalid Mahmoud | Internal Medicine | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Ronald B V Pearson Jr. | General Surgery | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Joseph A Snead | Orthopedic Surgery | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Virgil Waid Mcmillion | Emergency Medicine | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Tyler J Hall | Family Medicine | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Gerald T Wedemeyer | Pathology | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Jack C Marcum | Certified Registered Nurse Anesthetist (crna) | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| William K Hamilton | Obstetrics/gynecology | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Robert R Harris | Obstetrics/gynecology | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Mostafa Kurdi | Pulmonary Disease | Stonewall Jackson Memorial Hospital Company | 230 Hospital Plz, Weston, WV 26452-8558 |
| Street Address |
533 HACKERS CREEK RD |
| City | JANE LEW |
| State | WV |
| Zip | 26378-8394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khalid Mahmoud | Internal Medicine | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Bennett Duane Orvik | Family Medicine | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Sarah G Weaver | Nurse Practitioner | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Debra Lynn Murray | Nurse Practitioner | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Jessica Lynn Rice | Nurse Practitioner | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Michael R Hess | Family Medicine | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Cristy D Carpenter | Nurse Practitioner | Stonewall Jackson Memorial Hospital Company | 533 Hackers Creek Rd, Jane Lew, WV 26378-8394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Michelle Whitehair | Family Medicine | Community Care of West Virginia, Inc. | 6536 Main St, Jane Lew, WV 26378-8505 |
| Angela Marie Mills | Family Medicine | United Physicians Care Inc | 134 Industrial Park Rd, Suite 200, Jane Lew, WV 26378-9785 |
| Lincoln N Kinkade | Physical Therapy | Priority One Physical Therapy LLC | 174 Industrial Park Rd, Jane Lew, WV 26378-9785 |
| Joseph A Potesta | Physical Therapy | Priority One Physical Therapy LLC | 174 Industrial Park Rd, Jane Lew, WV 26378-9785 |
| Carey Franklin Swisher | Family Medicine | United Physicians Care Inc | 134 Industrial Park Rd, Suite 200, Jane Lew, WV 26378-9785 |
| Darla K Gant | Family Medicine | United Physicians Care Inc | 134 Industrial Park Rd, Suite 200, Jane Lew, WV 26378-9785 |
| City | JANE LEW |
| Zip Code | 26378 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JANE LEW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bruce A Gorby.
| 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.