Kiesha M Bullough (NPI# 1700113412, PAC ID# 8527108224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700113412 |
| PAC ID by PECOS | 8527108224 |
| Professional Enrollment ID | I20091210000223 |
| Full Name | Kiesha M Bullough |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Address |
1075 Van Voorhis Rd Suite 150 Morgantown WV 26505-3588 |
| Phone Number | 3045986216 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052224565 |
| Number of Group Practice Members | 1143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Ctr Dr, Morgantown, WV 26506-1200 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION | |
| 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 | 3045986216 | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Organization Legal Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Physicians | 1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Ober Fechter-leggett | Psychologist, Clinical | West Virginia University Medical Corporation | 3602 Collins Ferry Rd, Morgantown, WV 26505-2378 |
| Matraca Hovatter | Nurse Practitioner | West Virginia University Medical Corporation | 250 Retail Cir, Suite 106, Morgantown, WV 26508-1647 |
| Farheen Shirazi | Cardiovascular Disease (cardiology) | West Virginia University Medical Corporation | 13079 Garrett Hwy, Uha Oakland Ckd Clinic, Oakland, MD 21550 |
| Mackenzie James Clarkson | Internal Medicine | West Virginia University Medical Corporation | 14 Comfort Dr, Reedsville, WV 26547-0359 |
| Kristin Wendell | Nurse Practitioner | West Virginia University Medical Corporation | 205 Bakers Ridge Rd, Morgantown, WV 26508-1500 |
| Emily Butler | Physician Assistant | West Virginia University Medical Corporation | 3803 Emerson Ave, Parkersburg, WV 26104-1116 |
| Irfan Zeb | Internal Medicine | West Virginia University Medical Corporation | 426 8th St, Glen Dale, WV 26038-1451 |
| Binu T Chacko | Internal Medicine | West Virginia University Medical Corporation | 2601 Cranberry Sq, Morgantown, WV 26508-9201 |
| Jada Lauren Powell | Nurse Practitioner | West Virginia University Medical Corporation | 30 Mon General Dr, Morgantown, WV 26505-2853 |
| Omar Duenas | Obstetrics/gynecology | West Virginia University Medical Corporation | 1160 Van Voorhis Rd, Morgantown, WV 26505-3435 |
| Street Address |
1075 VAN VOORHIS RD SUITE 150 |
| City | MORGANTOWN |
| State | WV |
| Zip | 26505-3588 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Bowers | Emergency Medicine | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Nicholas Robert Marchesani | Chiropractic | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Lynn C Dobbs | Clinical Social Worker | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Amanda Marie Pratt | Registered Dietitian Or Nutrition Professional | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 200, Morgantown, WV 26505-3587 |
| Tiffany Dawn Newman | Nurse Practitioner | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Rolando P Garcia | Physician Assistant | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Kylie Kiefer | Nurse Practitioner | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Brittney Lilley | Nurse Practitioner | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Nancy Dunn | Nurse Practitioner | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| Edward J Priem | Chiropractic | West Virginia University Medical Corporation | 1075 Van Voorhis Rd, Suite 150, Morgantown, WV 26505-3588 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | MORGANTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kiesha M Bullough.
| 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.