State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304)...

190
State of West Virginia Public Employees Insurance Agency PEIA Provider Directory For: Comprehensive Care Partnership (CCP) Healthy Tomorrows Pick a PCP (PCP) July 05, 2018

Transcript of State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304)...

Page 1: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

State of West VirginiaPublic Employees Insurance Agency

PEIA Provider Directory For:Comprehensive Care Partnership (CCP)

Healthy Tomorrows Pick a PCP (PCP)

July 05, 2018

Page 2: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

How to Use This Directory

· This directory lists West Virginia primary care providers (PCP), including those who have opted to participate in

PEIA’s comprehensive care partnership (CCP).

· This directory lists a variety of health care providers who you may select as your PCP to meet the

requirements of the Healthy Tomorrows Program. You may also choose a provider not listed in this directory,

and still meet your Healthy Tomorrows requirement.

Note: You are not required to participate in the CCP program, but if you do, you automatically fulfill the Healthy

Tomorrows requirement to select a PCP.

· Providers are listed in two groups by type. Within the type - they are listed in alphabetical order by county.

PCP providers are listed first. CCP providers appear next, with individual providers shown under each

location.

· If you want to participate in the CCP program or if you see a physician that you wish to select as your PCP,

enter the provider’s number online or on your form.

· You may repeat the selection process for each of your dependents, but you are not required to do so.

· There currently is no or a reduced co-pay for the CCP program. The PCP co-pay is $20.

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

2173001 NILAND, DIANA L

INTERNAL MEDICINE

48 OAK STREET

ELK GARDEN, WV 26747

(304) 355-2323

PCP

BARBOUR COUNTY2164001 BELINGTON MEDICAL CENTER

MULTISPECIALTY GROUP

70 N STURMER ST

BELINGTON, WV 26250

(304) 823-2032

Accepting New Patients: Yes

CCP

2180001 BROADDUS HOSPITAL

HOSPITAL

1 HEALTHCARE DR

PHILIPPI, WV 26416

(304) 457-1760

Accepting New Patients: Yes

CCP

2138001 BARBOUR COUNTY FAMILY MEDICINE

MULTISPECIALTY GROUP

14032 BARBOUR COUNTY HWY

PHILIPPI, WV 26416

(304) 457-5744

Accepting New Patients: Yes

CCP

1066022 ACKERMAN, ALICE

FAMILY PRACTICE

6 HEALTHCARE DRIVE

SUITE 2

PHILIPPI, WV 26416

(304) 457-5080

PCP

1066023 ACKERMAN, ALICE

FAMILY PRACTICE

#1 HEALTHCARE DR

PHILIPPI, WV 26416

(304) 457-1760

PCP

2075001 HENDERSON, JOHN

FAMILY PRACTICE

101 COLLEGE HILL DR

PHILIPPI, WV 26416

(304) 457-0400

PCP

0279002 HENDERSON, JOHN

FAMILY PRACTICE

210 N STURMER ST

BELINGTON, WV 26250

(304) 823-2032

PCP

0279003 HIGH, CARL S

FAMILY PRACTICE

RR 01 BOX 210 STURMER STREET

BELINGTON, WV 26250

(304) 823-2800

PCP

2075004 HOLBERT, CECIL

FAMILY PRACTICE

101 COLLEGE HILL DR

PHILIPPI, WV 26416

(304) 457-0400

PCP

0131001 HOLBERT, CECIL T

FAMILY PRACTICE

PO BOX 900

3 HEALTHCARE DR

PHILIPPI, WV 26416

(304) 457-2800

PCP

1066025 MAUZY, MICHAEL

FAMILY PRACTICE

6 HEALTHCARE DR

SUITE 2

PHILIPPI, WV 26416

(304) 457-5080

PCP

1066026 MAUZY, MICHAEL B

FAMILY PRACTICE

1 HEALTHCARE DR

PHILIPPI, WV 26416

(304) 457-1760

PCP

0279008 PALKO, PETE

FAMILY PRACTICE

99 HORSESHOE DR

PHILIPPI, WV 26416

(304) 823-2032

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BARBOUR COUNTY2075003 PALKO, PETE

FAMILY PRACTICE

101 COLLEGE HILL DR

PHILIPPI, WV 26416

(304) 457-0400

PCP

0131003 PALKO, PETE J

FAMILY PRACTICE

3 HEALTH CARE DR

PO BOX 900

PHILIPPI, WV 26416

(304) 457-2800

PCP

1609002 VALENTINE, HANNAH A

FAMILY PRACTICE

210 N STURMER ST

BELINGTON, WV 26250

(304) 823-2032

PCP

2075002 VALENTINE, HANNAH A

FAMILY PRACTICE

101 COLLEGE HILL DR

PHILIPPI, WV 26416

(304) 457-0400

PCP

BERKELEY COUNTY

2137001 BLUE RIDGE HEALTHCARE

MULTISPECIALTY GROUP

2000 PROFESSIONAL CT

MARTINSBURG, WV 25401

(304) 264-9837

Accepting New Patients: Yes

CCP

2119001 INWOOD FAMILY MEDICINE

MULTISPECIALTY GROUP

5047 GERRARDSTOWN RD STE 2B

INWOOD, WV 25428

(304) 821-1441

Accepting New Patients: Yes

CCP

2151001 TUSCARORA PRIMARY CARE

MULTISPECIALTY GROUP

2010 DOCTOR OATES DR STE 102

MARTINSBURG, WV 25401

(304) 264-6343

Accepting New Patients: Yes

CCP

2123001 UHP GATEWAY FAMILY MEDICINE

MULTISPECIALTY GROUP

2010 DOCTOR OATES DR STE 102

MARTINSBURG, WV 25401

(304) 596-6290

Accepting New Patients: Yes

CCP

2124001 UNIVERSITY INTERNAL MEDICINE

MULTISPECIALTY GROUP

1002 SUSHRUTA DR

MARTINSBURG, WV 25401

(304) 263-0913

Accepting New Patients: Yes

CCP

2122001 UNIVERSITY PEDIATRIC ASSOCIATE

MULTISPECIALTY GROUP

2000 PROFESSIONAL CT STE C

MARTINSBURG, WV 25401

(304) 263-8853

Accepting New Patients: Yes

CCP

2118001 WVU MEDICINE PRIMARY CARE PEND

MULTISPECIALTY GROUP

299 MEDICAL CT

MARTINSBURG, WV 25401

(304) 596-6343

Accepting New Patients: Yes

CCP

2160001 EAST PRIMARY CARE SPRING MILLS

MULTISPECIALTY GROUP

61 CAMPUS DR STE 200

MARTINSBURG, WV 25404

(304) 274-6343

Accepting New Patients: Yes

CCP

0626047 ABE, MICHELLE M

FAMILY PRACTICE

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY1960010 ABE, MICHELLE M

FAMILY PRACTICE

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(844) 340-2554

PCP

1266001 AGBAYANI, ERNESTO H

FAMILY PRACTICE

155 HEALTH CARE LN

MARTINSBURG, WV 25401

(304) 596-6911

PCP

1356001 ARNETT, EDWARD F

PEDIATRICS

2000 PROFESSIONAL CT

MARTINSBURG, WV 25401

(304) 263-8853

PCP

1960005 DEBORD, JEFFREY B

UNKNOWN SPECIALTY

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(844) 340-2554

PCP

0626028 DELANOY, ANNE

FAMILY PRACTICE

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0626005 DIDDEN, DAVID

FAMILY PRACTICE

99 TAVERN ROAD

MARTINSBURG, VA 25401

(304) 263-4999

PCP

0626035 DONOVAN, KIMRIE M

PEDIATRICS

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0346008 DRESSLER, WILLIAM C

FAMILY PRACTICE

202 FOXCROFT AVE

MARTINSBURG, WV 25401

(304) 264-4090

PCP

0346009 DRESSLER, WILLIAM C

FAMILY PRACTICE

4980 GERRARDSTOWN RD

INWOOD, WV 25428

(304) 229-6000

PCP

0346010 DUFFY, CAMERON D

FAMILY PRACTICE

202 FOXCROFT AVE

MARTINSBURG, WV 25401

(304) 267-9440

PCP

0346003 DUFFY, CAMERON D

FAMILY PRACTICE

4980 GERRARDSTOWN RD

PO BOX 1355

INWOOD, WV 25428

(304) 264-4090

PCP

0626032 GUNDAVDA, HEMANT

PEDIATRICS

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0671009 GUSIC, BRITTANY

FAMILY PRACTICE

101 MARCLEY DR

MARTINSBURG, WV 25401

(304) 263-8911

PCP

1785001 JOE, CAROLINE E

PEDIATRICS

128 HEALTH CARE LN

MARTINSBURG, WV 25401

(304) 264-9121

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY0626009 JONES, DAWN

INTERNAL MEDICINE

99 TAVERN RD

MARTINSBURG, WV 25402

(304) 263-4999

PCP

1639001 KAZNOSKI, SHANA

PEDIATRICS

1004 TAVERN RD

MARTINSBURG, WV 25401

(304) 264-1530

PCP

0537091 KUMAR, ARATHI

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(828) 257-2333

PCP

1278001 LOBATON, CHERRY B

FAMILY PRACTICE

1004 SUSHRUTA DR STE D

MARTINSBURG, WV 25401

(304) 262-2538

PCP

0795001 LYNCH, ROBERT J

INTERNAL MEDICINE

311 MEDICAL COURT

MARTINSBURG, WV 25401

(304) 263-8989

PCP

0626034 MACIUNAS, KRISTINA

FAMILY PRACTICE

PO BOX 1146

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0626025 MALLOTT, STEPHEN

INTERNAL MEDICINE

99 TAVERN RD

PO BOX 1146

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0626036 MIER, RICHARD

PEDIATRICS

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

1780077 MILLER, RYAN

FAMILY PRACTICE

61 CAMPUS DRIVE SUITE 200

MARTINSBURG, WV 25404

(304) 285-7101

PCP

0671004 MORRIS, SAMUEL D

FAMILY PRACTICE

101 MARCLEY DR

MARTINSBURG, WV 25401

(304) 263-8911

PCP

0671007 MORRIS, SAMUEL R

UNKNOWN SPECIALTY

101 MARCLEY DR

MARTINSBURG, WV 25401

(304) 263-8911

PCP

1356004 NGANGA, JACKSON M

PEDIATRICS

2000 PROFESSIONAL CT

MARTINSBURG, WV 25401

(304) 263-8853

PCP

1960006 OO, TIN M

INTERNAL MEDICINE

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(844) 340-2554

PCP

2002003 OSHIYOYE, KOLAWALE

FAMILY PRACTICE

100 TAVERN RD

MARTINSBURG, WV 25401

(304) 267-9355

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY0626015 OWUNNA, ANTHONY

INTERNAL MEDICINE

99 TAVERN RD

MARTINSBURG, WV 25402

(304) 265-4999

PCP

0346004 PALKOT, JOHN S

GENERAL PRACTICE

123 HOVATTER DRIVE

PO BOX 92

INWOOD, WV 25428

(304) 229-2911

PCP

0124001 PHARES, ROBERT W

FAMILY PRACTICE

3790 HEDGESVILLE RD

SUITE H

HEDGESVILLE, WV 25427

(304) 754-7160

PCP

2002001 PICKARD, JULIA P

FAMILY PRACTICE

1000 TAVERN RD STE 100

MARTINSBURG, WV 25401

(304) 267-9355

PCP

0626017 REIDY, TERRENCE

INTERNAL MEDICINE

PO BOX 1146

99 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-4999

PCP

2055001 REIDY, TERRENCE

INTERNAL MEDICINE

122 WAVERLY CT

MARTINSBURG, WV 25403

(304) 263-5131

PCP

2177001 REYNA, ROBERTO

INTERNAL MEDICINE

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(304) 263-6997

PCP

1062004 RUDOLPH, KAREN J

INTERNAL MEDICINE

1002 SUSHRUTA DR

MARTINSBURG, WV 25401

(304) 263-0913

PCP

2080003 SANA, SAID

FAMILY PRACTICE

2720 CHARLES TOWN RD

MARTINSBURG, WV 25405

(866) 282-7905

PCP

0626020 STATUM, KASEY

PEDIATRICS

99 TAVERN RD

PO BOX 1146

MARTINSBURG, WV 25401

(304) 263-4999

PCP

0626021 STRUTHERS, COURTNEY

INTERNAL MEDICINE

99 TAVERN RD

MARTINSBURG, WV 25402

(304) 263-4999

PCP

0537090 TRACY, LLOYD

FAMILY PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(828) 257-3777

PCP

1356002 TRAWICK, JAMIK W

PEDIATRICS

2000 PROFESSIONAL CT STE C

MARTINSBURG, WV 25401

(304) 263-8853

PCP

2002002 UDE-OSHIYOYE, NGOZI

FAMILY PRACTICE

1000 TAVERN RD STE 100

MARTINSBURG, WV 25401

(304) 267-9355

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY0453002 VELTMAN, JOHN

GENERAL PRACTICE

35 AIKENS CTR

MARTINSBURG, WV 25404

(304) 264-2290

PCP

1573001 VELTMAN, JOHN C

GENERAL PRACTICE

365 MIDDLEWAY PIKE

PO BOX 1845

INWOOD, WV 25428

PCP

1356003 WEAR, WILLIAM E

PEDIATRICS

2000 PROFESSIONAL CT

MARTINSBURG, WV 25401

(304) 263-8853

PCP

0626024 YELLOTT, CHELSEY

FAMILY PRACTICE

PO BOX 1146

99 TAVERN RD

MARTINSBURG, WV 25402

(304) 263-4999

PCP

0537074 ABIODUN, AZEEZ

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

PCP

0537002 AGARWAL, AKHILESH N

GENERAL PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0919001 AHMED, SAYEED

INTERNAL MEDICINE

105 TAVERN RD

MARTINSBURG, WV 25401

(304) 267-8478

PCP

0537088 BENEGALRAO, YOGINI

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0626046 CARAHER, TIMOTHY

FAMILY PRACTICE

99 TAVERN RD

MARTINSBURG, WV 25401

PCP

1234010 CISNEROS, ROBERTO

FAMILY PRACTICE

65 HEALTH CARE LN

MARTINSBURG, WV 25401

(304) 263-6997

PCP

0537083 COOPER, RONALD

FAMILY PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0537079 COPELAND, JAY

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

1234002 DEBORD, JEFFREY

INTERNAL MEDICINE

87 TAVERN RD

MARTINSBURG, WV 25401

(304) 263-6997

PCP

1234011 ESTIGOY, ROMULO J

INTERNAL MEDICINE

65 HEALTH CARE LN

MARTINSBURG, WV 25401

(304) 263-6997

PCP

- 6 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY0537081 FOGATA, MARIA L

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(215) 726-3845

PCP

1802001 FUNK, CATHY M

INTERNAL MEDICINE

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(304) 264-9837

PCP

1814001 GAVIRIA, DIANA M

FAMILY PRACTICE

800 EMMETT ROUSCH DR

MARTINSBURG, WV 25401

(304) 263-5131

PCP

1840001 GLASSFORD, JUSTIN

FAMILY PRACTICE

3790 HEDGESVILLE RD

HEDGESVILLE, WV 25427

(304) 754-7160

PCP

0537085 GUPTA, TULIKA

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0537075 HABTE, BETHESAIDA T

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0537073 HABTECHENO, ANTENEH

INTERNAL MEDICINE

510 BUTLER AVENUE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

1639006 KAZNOSKI, SHANA

PEDIATRICS

1178 SHEPHERDSTOWN RD

MARTINSBURG, WV 25404

(304) 264-8570

PCP

0346013 KHAJAVI, MEHRAN

FAMILY PRACTICE

202 FOXCROFT AVE

MARTINSBURG, WV 25401

(304) 264-4090

PCP

0537082 MAHGOUB, NOON

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

PCP

1062008 MCCARTHY, RYAN T

INTERNAL MEDICINE

1002 SUSHRUTA DR

MARTINSBURG, WV 25401

(304) 263-0913

PCP

0537078 MCMURRY, JAMES

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(703) 554-1100

PCP

1154010 MENON, SURECH K

FAMILY PRACTICE

5078 WILLIAMSPORT PIKE STE B

MARTINSBURG, WV 25404

(304) 822-3838

PCP

0537037 MORGAN, JOHN

FAMILY PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY1870001 MORRIS, SAMUEL D

FAMILY PRACTICE

209 CLOVER ST

MARTINSBURG, WV 25404

(304) 263-8911

PCP

0537039 NEGERI, ASTER

UNKNOWN SPECIALTY

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

1976001 OSHIYOYE, KOLAWALE A

FAMILY PRACTICE

202 FOXCROFT AVE

MARTINSBURG, WV 25401

(304) 350-1087

PCP

1062002 PARK, CHAN D

INTERNAL MEDICINE

1002 SUSHRUTA DR

MARTINSBURG, WV 25401

(304) 263-0913

PCP

1062003 PARK, JANE C

INTERNAL MEDICINE

1002 SUSHRUTA DR

MARTINSBURG, WV 25401

(304) 263-0913

PCP

1059028 PHILLIPS, MICHAEL

FAMILY PRACTICE

2500 HOSPITAL DR

MARTINSBURG, WV 25401

(800) 562-2945

PCP

1805001 QUE, CHRIS

INTERNAL MEDICINE

1004 TAVERN RD

MARTINSBURG, WV 25401

(304) 264-1530

PCP

1234012 SCHILDT, TRAVIS

FAMILY PRACTICE

65 HEALTH CARE LN

MARTINSBURG, WV 25401

PCP

0537076 SHAKESPRERE, GEETHA

GENERAL PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

PCP

0537077 SMITH, GEORGE

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

PCP

1857001 SUBEDI, NANDITA R

FAMILY PRACTICE

97 ADMINISTRATIVE DR

MARTINSBURG, WV 25404

(540) 536-8000

PCP

1805002 TABUENA, PHILOMELA M

FAMILY PRACTICE

1004 TAVERN RD

MARTINSBURG, WV 25401

(304) 264-4433

PCP

1976002 UDE-OSHIYOYE, NGOZI N

FAMILY PRACTICE

202 FOXCROFT AVE

MARTINSBURG, WV 25401

(304) 350-1087

PCP

0537086 VICTOR, VIJAYALEELA G

GENERAL PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

- 8 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BERKELEY COUNTY0537084 WARAICH, SHAHID A

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0537087 WILLIS, WILLIAM

FAMILY PRACTICE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 263-0811

PCP

0626045 WOMELDORF, SUSAN M

FAMILY PRACTICE

99 TAVERN RD

MARTINSBURG, WV 25401

(706) 869-9960

PCP

0537080 XIE, JIANMING

INTERNAL MEDICINE

510 BUTLER AVE

MARTINSBURG, WV 25405

(304) 876-2355

PCP

BOONE COUNTY

1671001 FAMILYCARE-MADISON

MULTISPECIALTY GROUP

515 MAIN ST

MADISON, WV 25130

(304) 369-0393

Accepting New Patients: Yes

CCP

0562025 ADKINS, KENNETH C

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(800) 201-3324

PCP

0612045 ATKINS, ROBERT

FAMILY PRACTICE

471 MAIN ST

MADISON, WV 25130

(304) 369-5170

PCP

0545002 BHAVSAR, SHASHI

FAMILY PRACTICE

35767 POND FK RD

WHARTON, WV 25208

(304) 247-6202

PCP

0562029 COOK, ANDREW B

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(800) 201-3324

PCP

0562030 HAGER, CASEY S

INTERNAL MEDICINE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1230

PCP

0562026 KNAPP, RICHARD W

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(800) 282-4548

PCP

0454001 LONG, WENQING

FAMILY PRACTICE

340 STATE ST

MADISON, WV 25130

(304) 307-6618

PCP

0612046 STOLLINGS, RONNY D

INTERNAL MEDICINE

471 MAIN ST

MADISON, WV 25130

(304) 369-5170

PCP

- 9 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BOONE COUNTY0562024 THOMAS, TERRY L

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(800) 282-4548

PCP

0395001 VIDAL MD, MELCHOR F

FAMILY PRACTICE

PO BOX 168

27545 DANIEL BOONE PARKWAY

RACINE, WV 25165

(304) 837-8637

PCP

0545009 WALSH, JOSEPH

GENERAL PRACTICE

PO BOX 89

WHARTON, WV 25208

(304) 247-6202

PCP

0782001 YUTIAMCO, ERNESTO

GENERAL PRACTICE

483 MAIN ST

MADISON, WV 25130

(304) 369-0221

PCP

0562017 ADKINS, COURTNEY

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1230

PCP

0878009 ATKINS, ROBERT B

FAMILY PRACTICE

467 MAIN ST STE 200

MADISON, WV 25130

(304) 369-5170

PCP

0562023 CHANAA, ZIAD A

INTERNAL MEDICINE

701 MADISON AVE

MADISON, WV 25130

(800) 282-4548

PCP

0562002 CHATTIN, RONALD D

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 369-0393

PCP

0562022 COOK, JOHN D

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1230

PCP

0878008 GALAPON, PHILIP A

FAMILY PRACTICE

467 MAIN ST STE 200

MADISON, WV 25130

(304) 369-5530

PCP

0562019 LAFFERTY, HOWARD B

EMERGENCY MEDICINE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1230

PCP

0562018 MARTIN, DALLAS D

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 307-6070

PCP

0545016 MORRIS, IRA

INTERNAL MEDICINE

35767 POND FORD RD

WHARTON, WV 25208

(304) 854-1323

PCP

0545017 MORRIS, IRA

FAMILY PRACTICE

10008 COAL RIVER ROAD

SETH, WV 25181

(304) 854-1323

PCP

- 10 -

Page 13: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BOONE COUNTY0562020 STOLLINGS, JAMES D

INTERNAL MEDICINE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1230

PCP

0878010 STOLLINGS, RON D

INTERNAL MEDICINE

467 MAIN ST STE 200

MADISON, WV 25130

PCP

0562016 VANNATTER, BRANDY

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 369-1810

PCP

0562021 WALKER, JAMES K

FAMILY PRACTICE

701 MADISON AVE

MADISON, WV 25130

(304) 369-4250

PCP

BRAXTON COUNTY

2070001 BURNSVILLE ELEMENTARY SCHOOL W

SCHOOL BASED HEALTH CENTER

228 KANAWHA AVENUE

BURNSVILLE, WV 26335

(304) 924-6262

Accepting New Patients: Yes

CCP

1988001 COMMUNITY CARE OF FLATWOODS

MULTISPECIALTY GROUP

266 SKIDMORE LN

SUTTON, WV 26601

Accepting New Patients: Yes

CCP

2071001 FLATWOODS ELEMENTARY SCHOOL W

SCHOOL BASED HEALTH CENTER

142 FLATWOODS CORNER ROAD

FLATWOODS, WV 26621

(304) 924-6262

Accepting New Patients: Yes

CCP

2073001 LITTLE BIRCH ELEMENTARY SCHOOL

SCHOOL BASED HEALTH CENTER

55 LITTLE BIRCH RD

SUTTON, WV 26601

(304) 924-6262

Accepting New Patients: Yes

CCP

2072001 SUTTON ELEMENTARY SCHOOL

WELLN

SCHOOL BASED HEALTH CENTER

288 N HILL RD

SUTTON, WV 26601

(304) 924-6262

Accepting New Patients: Yes

CCP

1919001 BRAXTON CO HIGH SCHOOL WELLNES

SCHOOL BASED HEALTH CENTER

200 JERRY BURTON DR

SUTTON, WV 26601

(304) 765-3331

CCP

1918001 BRAXTON CO MIDDLE SCHOOL WELLN

SCHOOL BASED HEALTH CENTER

100 CARTER BRAXTON DR

SUTTON, WV 26601

(304) 765-2644

CCP

1900001 COMMUNITY CARE OF FLATWOODS II

MULTISPECIALTY GROUP

273 SKIDMORE LN

SUTTON, WV 26601

(304) 765-0351

CCP

1936001 DAVIS ELEMENTARY SCHOOL WELLNE

SCHOOL BASED HEALTH CENTER

113 5TH ST

GASSAWAY, WV 26624

(304) 364-5291

CCP

- 11 -

Page 14: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BRAXTON COUNTY1937001 FRAMETOWN ELEMENTARY SCHOOL

SCHOOL BASED HEALTH CENTER

HC61 BOX 14

FRAMETOWN, WV 26623

(304) 364-5526

CCP

2139001 ELK MEMORIAL CLINIC

MULTISPECIALTY GROUP

626 ELK ST

GASSAWAY, WV 26624

(304) 364-2401

Accepting New Patients: Yes

CCP

0726019 DONAHUE, JONATHAN

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 364-5156

PCP

0726017 FRAME, STEPHANIE

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 335-2050

PCP

0726004 GIVEN, WILLIAM

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 364-5156

PCP

1034001 KATINY, ANTOINE

INTERNAL MEDICINE

110 MUNICIPAL ST

BURNSVILLE, WV 26335

(304) 853-2278

PCP

1034002 KATINY, ANTOINE

INTERNAL MEDICINE

100 HOLLYMAN DR

GASSAWAY, WV 26624

(304) 853-2278

PCP

0726018 RATLIFF, BETHANY R

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 364-5156

PCP

0539105 RUBI, DIONISIO J

INTERNAL MEDICINE

40 RESTON PL

GASSAWAY, WV 26624

(828) 257-2333

PCP

1107004 RUSH, SANDRA R

FAMILY PRACTICE

10 SUMMIT CENTER CIR

SUTTON, WV 26601

(304) 765-2801

PCP

0697002 SABIO, ARTURO

GENERAL PRACTICE

196 RIVERVIEW DR

SUTTON, WV 26601

(304) 765-5943

PCP

0726008 STEWART, RUSSELL

FAMILY PRACTICE

100 HOLYMAN DR

GASSAWAY, WV 26624

(304) 364-1153

PCP

0726009 STEWART, SALLY R

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 364-1093

PCP

0726014 BUTCHER, ANDREW

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 364-1121

PCP

- 12 -

Page 15: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

BRAXTON COUNTY0726015 GLOVER, BRENT

FAMILY PRACTICE

100 HOYLMAN DR

GASSAWAY, WV 26624

(304) 388-9948

PCP

0539099 JACKSON, SIDNEY

FAMILY PRACTICE

93 SKIDMORE LN

SUTTON, WV 26601

(304) 623-3461

PCP

0726016 PHILLIPPI, DINO

FAMILY PRACTICE

100 HOULMAN DR

GASSAWAY, WV 26624

(304) 364-5156

PCP

BROOKE COUNTY0754001 CIPOLETTI, PATSY P

FAMILY PRACTICE

1421 COMMERCE ST

WELLSBURG, WV 26070

(304) 737-3425

PCP

1251002 DEPETRO III, JOSEPH J

FAMILY PRACTICE

69 8TH ST

WELLSBURG, WV 26070

(304) 737-0321

PCP

1131001 MARKS, EDWARD R

FAMILY PRACTICE

1006 COMMERCE ST

WELLSBURG, WV 26070

(304) 737-4435

PCP

0013001 MASCIO, STEPHEN H

FAMILY PRACTICE

1417 MAIN ST

FOLLANSBEE, WV 26037

(304) 527-1670

PCP

0533066 URVAL, SHASHI

INTERNAL MEDICINE

1006 COMMERCE ST

WELLSBURG, WV 26070

(304) 243-3070

PCP

1836001 CHERIAN, JOHN

INTERNAL MEDICINE

138 ROCKDALE RD

FOLLANSBEE, WV 26037

(304) 723-6040

PCP

1818001 LYNCH, EDWARD

INTERNAL MEDICINE

753 MAIN ST

FOLLANSBEE, WV 26037

(508) 836-3663

PCP

1836003 THIMMIAH, RAMESH

INTERNAL MEDICINE

138 ROCKDALE RD

FOLLANSBEE, WV 26037

(304) 723-6040

PCP

CABELL COUNTY2081001 CHH FAMILY PRACTICE BARBOURSVI

MULTISPECIALTY GROUP

4 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 736-4000

Accepting New Patients: Yes

CCP

- 13 -

Page 16: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY2077001 CHH HOME CARE MEDICINE

MULTISPECIALTY GROUP

940 4TH AVE STE 600

HUNTINGTON, WV 25701

(304) 529-7004

Accepting New Patients: Yes

CCP

2068001 CHH PAIN MANAGEMENT CENTER

MULTISPECIALTY GROUP

1623 13TH AVE

HUNTINGTON, WV 25701

(304) 526-2243

Accepting New Patients: Yes

CCP

2078001 CHH WOODLANDS PRIMARY CARE CLI

MULTISPECIALTY GROUP

1 BRADLEY FOSTER DR 267

HUNTINGTON, WV 25701

(604) 781-0241

Accepting New Patients: Yes

CCP

2065001 HIMG

MULTISPECIALTY GROUP

6468 FARMDALE RD

BARBOURSVILLE, WV 25504

(304) 528-4600

Accepting New Patients: Yes

CCP

2062001 HIMG HIMG

MULTISPECIALTY GROUP

5170 US ROUTE 60

HUNTINGTON, WV 25705

(304) 528-4600

Accepting New Patients: Yes

CCP

2051001 MARSHALL DERMATOLOGY

MULTISPECIALTY GROUP

1934 11TH AVE

HUNTINGTON, WV 25701

(304) 529-0900

Accepting New Patients: Yes

CCP

2026001 MARSHALL FAMILY MEDICINE

MULTISPECIALTY GROUP

1155 MAIN ST

MILTON, WV 25541

(304) 743-8833

Accepting New Patients: Yes

CCP

2056001 MARSHALL UNIVERSITY

MULTISPECIALTY GROUP

1 JOHN MARSHALL DR

HUNTINGTON, WV 25755

(304) 696-3641

Accepting New Patients: Yes

CCP

2053001 THE CENTER FOR LUNG HEALTH AT

MULTISPECIALTY GROUP

1305 ELM ST E

HUNTINGTON, WV 25701

(304) 399-2881

Accepting New Patients: Yes

CCP

1997004 UNIV PHYSICIANS & SURGEONS INC

MULTISPECIALTY GROUP

1616 13TH AVE STE 200

HUNTINGTON, WV 25701

(304) 691-1247

Accepting New Patients: Yes

CCP

0627192 UNIVERSITY PHYSICIANS & SURGEO

MULTISPECIALTY GROUP

1600 MEDICAL CENTER DR

HUNTINGTON, WV 25701

(802) 862-1022

Accepting New Patients: Yes

CCP

2011001 UNIVERSITY PHYSICIANS & SURGEO

MULTISPECIALTY GROUP

2211 3RD AVE

HUNTINGTON, WV 25703

(304) 691-1880

Accepting New Patients: Yes

CCP

1981001 VALLEY HEALTH FOOD FAIR RT 60

MULTISPECIALTY GROUP

6350 US ROUTE 60 E

BARBOURSVILLE, WV 25504

(304) 399-3350

Accepting New Patients: Yes

CCP

2016001 VALLEY HEALTH HARMONY HOUSE

MULTISPECIALTY GROUP

627 4TH AVE

HUNTINGTON, WV 25701

(304) 523-2764

Accepting New Patients: Yes

CCP

- 14 -

Page 17: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY2017001 VALLEY HEALTH MOUNTWEST

MULTISPECIALTY GROUP

1 MOUNTWEST WAY

HUNTINGTON, WV 25701

(304) 399-3350

Accepting New Patients: Yes

CCP

1978001 VALLEY HEALTH SYSTEMS

MULTISPECIALTY GROUP

1509 W MAIN ST

MILTON, WV 25541

(304) 781-5125

Accepting New Patients: Yes

CCP

2018001 VALLEY HEALTH 10TH STREET

MULTISPECIALTY GROUP

5410 10TH STREET STE 1

HUNTINGTON, WV 25701

Accepting New Patients: Yes

CCP

1682001 A WOMANS PLACE

MULTISPECIALTY GROUP

1630 13TH AVE

HUNTINGTON, WV 25701

(304) 697-2014

CCP

1739001 BYRD CLINICAL CENTER

MULTISPECIALTY GROUP

1249 15TH ST

2ND & 3RD FLOOR

HUNTINGTON, WV 25701

(304) 691-1000

Accepting New Patients: Yes

CCP

1889001 CABELL HUNTINGTON HOS PEDIATRI

MULTISPECIALTY GROUP

1115 20TH ST STE 105

HUNTINGTON, WV 25703

(304) 399-4141

CCP

1691001 CABELL MIDLAND HEALTH CENTER

MULTISPECIALTY GROUP

2300 US ROUTE 60

ONA, WV 25545

(304) 743-7495

CCP

1890001 CHH MERRITTS CREEK FAMILY MED

MULTISPECIALTY GROUP

100 MEADOW POINTE

BARBOURSVILLE, WV 25504

(304) 399-2990

CCP

1892001 CHH WOMENS & FAMILY MEDICAL

MULTISPECIALTY GROUP

1115 20TH ST STE 100

HUNTINGTON, WV 25703

(304) 697-7000

CCP

1692001 HUNTINGTON HIGH HEALTH CENTER

MULTISPECIALTY GROUP

1 HIGHLANDER WAY

HUNTINGTON, WV 25701

(304) 528-6445

CCP

1740001 MARSHALL MED CNTR PEDIATRICS

MULTISPECIALTY GROUP

1600 MEDICAL CENTER DR FL 3

HUNTINGTON, WV 25701

(304) 691-1300

Accepting New Patients: Yes

CCP

1735001 MARSHALL MEDICAL CENTER

MULTISPECIALTY GROUP

1600 MEDICAL CENTER DR 1500

HUNTINGTON, WV 25701

(304) 691-1100

Accepting New Patients: Yes

CCP

1741001 PEDIATRIC NOW CARE AT HIMG

MULTISPECIALTY GROUP

5170 RT 60 E

HUNTINGTON, WV 25705

(304) 399-4422

Accepting New Patients: Yes

CCP

1742001 PEDIATRICS AT 3RD AVE

MULTISPECIALTY GROUP

2915 3RD AVE

HUNTINGTON, WV 25702

(304) 691-8900

Accepting New Patients: Yes

CCP

- 15 -

Page 18: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY1702001 SOUTHSIDE ELEM SCHOOL HEALTH

MULTISPECIALTY GROUP

930 2ND ST

HUNTINGTON, WV 25701

(304) 528-2070

CCP

1686001 VALLEY HEALTH ASSOCIATES

MULTISPECIALTY GROUP

1301 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 525-0572

CCP

1730001 VALLEY HEALTH EAST HUNTINGTON

MULTISPECIALTY GROUP

3377 US ROUTE 60

HUNTINGTON, WV 25705

(304) 399-3310

Accepting New Patients: Yes

CCP

1689001 VALLEY HEALTH HIGHLAWN

MULTISPECIALTY GROUP

2585 3RD AVE

HUNTINGTON, WV 25703

(304) 781-5138

CCP

1706001 VALLEY HEALTH MILTON

MULTISPECIALTY GROUP

1 HARBOUR WAY

MILTON, WV 25541

(304) 743-4444

Accepting New Patients: Yes

CCP

1710001 VALLEY HEALTH PRESTERA RT 60

MULTISPECIALTY GROUP

3375 US ROUTE 60

HUNTINGTON, WV 25705

(304) 399-7770

Accepting New Patients: Yes

CCP

1688001 VALLEY HEALTH SOUTHSIDE

MULTISPECIALTY GROUP

723 9TH AVE

HUNTINGTON, WV 25701

(304) 529-0645

CCP

1737001 VILLAGE MEDICAL CENTER

MULTISPECIALTY GROUP

659 CENTRAL AVE

BARBOURSVILLE, WV 25504

(304) 736-5247

Accepting New Patients: Yes

CCP

1098002 CHANEY, GREGORY D

INTERNAL MEDICINE

301 SAVANNA DRIVE

HUNTINGTON, WV 25701

(304) 525-5405

PCP

1746033 AGARWAL, AMKUSH

INTERNAL MEDICINE

2900 1ST AVE RM 1025

HUNTINGTON, WV 25702

(304) 399-7484

PCP

1746038 ALLAN, BENJAMIN

FAMILY PRACTICE

144 PEYTON STREET

BARBOURSVILLE, WV 25504

(304) 603-6276

PCP

1746026 ALLAN, BENJAMIN L

FAMILY PRACTICE

143 PEYTON ST

BARBOURSVILLE, WV 25504

(304) 697-2035

PCP

1746027 ALLAN, BENJAMIN L

FAMILY PRACTICE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1746028 ALLAN, BENJAMIN L

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 603-6276

PCP

- 16 -

Page 19: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY0391005 ALLEY, ADAM

FAMILY PRACTICE

601 20TH ST

HUNTINGTON, WV 25703

(304) 429-1088

PCP

0662001 APGAR, DAVID A

FAMILY PRACTICE

PO BOX 1895

1438 6TH AVE

HUNTINGTON, WV 25719

(304) 697-7722

PCP

0909044 AYERS, DAVID R

FAMILY PRACTICE

1 HARBOUR WAY

MILTON, WV 25541

(304) 743-1407

PCP

2010001 BAISDEN, APRIL

INTERNAL MEDICINE

PO BOX 1680

HUNTINGTON, WV 25717

(304) 781-5138

PCP

1746037 BOLINGER, CLIFTON

UNKNOWN SPECIALTY

144 PEYTON ST

BARBOURSVILLE, WV 25504

(304) 603-6276

PCP

1746020 BOLINGER, CLIFTON R

FAMILY PRACTICE

143 PEYTON ST

STE 501

BARBOURSVILLE, WV 25504

(304) 697-2035

PCP

0105001 CAMPBELL, STEPHEN

INTERNAL MEDICINE

1 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 736-4744

PCP

1746036 CHIMBUAH, EGYA N

INTERNAL MEDICINE

2900 1ST AVE RM 1025

HUNTINGTON, WV 25702

(304) 399-7484

PCP

0546001 CLEMENTS, CHARLES W

FAMILY PRACTICE

1448 10TH AVE STE 313

HUNTINGTON, WV 25701

(304) 522-3055

PCP

0317001 DELCHECCOLO, RICHARD L

INTERNAL MEDICINE

410 31ST ST

HUNTINGTON, WV 25702

(304) 525-9100

PCP

0479001 DICRISTOFARO, SHARON M

PEDIATRICS

5187 US ROUTE 60 STE 11

HUNTINGTON, WV 25705

(304) 399-5437

PCP

1084001 EAKLE, LINDA A

FAMILY PRACTICE

1509 W MAIN ST

MILTON, WV 25541

(304) 743-7141

PCP

1955002 FERNALD, JOHN R

PEDIATRICS

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(702) 952-9993

PCP

0612033 GIBBS, MICHAEL W

FAMILY PRACTICE

5490 STATE RT 10

SALT ROCK, WV 25559

(304) 824-5806

PCP

- 17 -

Page 20: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY0909086 HARRIS, MATTHEW W

INTERNAL MEDICINE

4 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 399-2980

PCP

1577001 JOHNSON, SHERRI L

INTERNAL MEDICINE

2900 FIRST AVE

HUNTINGTON, WV 25702

(304) 925-1779

PCP

1565001 LIESEN, JAMES G

PEDIATRICS

HIGHLAWN MEDICAL CTR

2828 1ST AVE SUITE 305

HUNTINGTON, WV 25702

(888) 603-6272

PCP

1746035 LISK, MATTHEW

INTERNAL MEDICINE

2900 1ST AVE RM 1025

HUNTINGTON, WV 25702

(304) 399-7484

PCP

1746048 LISZKA, PAUL V

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1746044 MACFARLAND, DAWN L

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1746045 MCDANIEL, MARK

FAMILY PRACTICE

2827 5TH AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1568001 MOSES, MELIN J

FAMILY PRACTICE

2959 3RD AVE

HUNTINGTON, WV 25702

(304) 781-3589

PCP

1746034 PARKER, JASON A

FAMILY PRACTICE

2900 1ST AVE RM 1025

HUNTINGTON, WV 25702

(304) 536-5030

PCP

0546006 PETRANY, STEPHEN

FAMILY PRACTICE

1448 10TH AVE STE 313

HUNTINGTON, WV 25701

(304) 522-3055

PCP

1764001 PINSON, CYNTHIA

FAMILY PRACTICE

528 RIDGEWOOD RD

HUNTINGTON, WV 25701

(304) 529-7004

PCP

2080001 PINSON, CYNTHIA

FAMILY PRACTICE

101 13TH ST

HUNTINGTON, WV 25701

(866) 282-7905

PCP

1746005 SABER, KATHY

FAMILY PRACTICE

6475 FARMDALE RD

BARBOURSVILLE, WV 25504

(304) 603-6276

PCP

1746049 SABER, KATHY L

FAMILY PRACTICE

2900 1ST AVE FL 1

HUNTINGTON, WV 25702

(304) 603-6276

PCP

- 18 -

Page 21: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY1746047 SALAS, STEPHANIE A

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1746046 SAXE, TIMOTHY

INTERNAL MEDICINE

6900 COUNTRY CLUB DR

HUNTINGTON, WV 25705

(304) 603-6276

PCP

0105008 SAXE, TIMOTHY G

INTERNAL MEDICINE

1 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 736-4700

PCP

1746032 SHAIK, IMAN H

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

0750001 SIDDIQI, FAROOQ H

PEDIATRICS

107 RIVER RD

BARBOURSVILLE, WV 25504

(304) 736-1667

PCP

1746003 STEELE, DAVID R

GENERAL PRACTICE

1 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 736-4700

PCP

0105009 STOTTS, DIANA

FAMILY PRACTICE

1 CHATEAU GROVE LN

BARBOURSVILLE, WV 25504

(304) 736-4744

PCP

1746043 WALLACE, JANET

FAMILY PRACTICE

2900 FIRST AVE OP CENTER

HUNTINGTON, WV 25702

(304) 603-6276

PCP

1746031 WALLACE, JANET N

FAMILY PRACTICE

2828 1ST AVE STE 304

HUNTINGTON, WV 25702

(304) 399-7280

PCP

1746006 WILLIS, ERICK J

PEDIATRICS

2828 1ST AVE STE 305

HUNTINGTON, WV 25702

(304) 603-6276

PCP

0479003 WILSON, MATTHEW C

PEDIATRICS

5187 US ROUTE 60 STE 11

HUNTINGTON, WV 25702

(304) 399-5437

PCP

0909084 BAILEY, SHELLEY

FAMILY PRACTICE

1115 20TH STREET

HUNTINGTON, WV 25701

(304) 697-7000

PCP

1764008 BOGGS, JOSHUA

FAMILY PRACTICE

528 RIDGEWOOD RD

HUNTINGTON, WV 25701

(702) 367-3625

PCP

1746023 BOYCE, RONDAL J

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 846-2573

PCP

- 19 -

Page 22: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY0909068 BRUCK, CARI

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2175

PCP

0909085 CHIPINAPI, THEJO K

INTERNAL MEDICINE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 399-6727

PCP

0909070 CORN, GEORGE B

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

PCP

0909072 CORN, GLEN

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

0909005 CREMEANS, GARY

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(615) 867-6000

PCP

0909012 FRANKS, ADAM

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

0909074 FULLER, JEREMY

FAMILY PRACTICE

ONE HARBOUR WAY

MILTON, WV 25541

(304) 743-1407

PCP

0909075 FULLER, JEREMY

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 743-1407

PCP

0909020 HARPER, GLEN

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

1758038 HAWARNY, RITA

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 691-1000

PCP

1764007 HUDAK, JASON

FAMILY PRACTICE

528 RIDGEWOOD RD

HUNTINGTON, WV 25701

(702) 367-3625

PCP

1746019 JONES MD, CHRISTOPHER

INTERNAL MEDICINE

2900 1ST AVE

HUNTINGTON, WV 25702

(304) 603-6276

PCP

0252001 KLINESTIVER, DONALD G

FAMILY PRACTICE

PO BOX 127

1028 MASON ST

MILTON, WV 25541

(304) 743-3601

PCP

0909082 LEMASTER JR, RONALD

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 453-6136

PCP

- 20 -

Page 23: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY0261001 LONG II, JAMES

FAMILY PRACTICE

PO BOX 2078

HUNTINGTON, WV 25720

PCP

1813001 MACFARLAND, DAWN L

INTERNAL MEDICINE

3135 16TH STREET RD

HUNTINGTON, WV 25701

(304) 523-5555

PCP

0909069 MCCORMICK, CHARLES

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

1051006 MCCORMICK, JEFFREY R

FAMILY PRACTICE

PO BOX 979

CULLODEN, WV 25510

(304) 722-8883

PCP

1746022 MCDANIEL, MARK E

FAMILY PRACTICE

2815 5TH AVE

HUNTINGTON, WV 25702

(304) 399-7182

PCP

1764009 MITCHELL, DCOTT

FAMILY PRACTICE

528 RIDGEWOOD RD

HUNTINGTON, WV 25701

(702) 367-3625

PCP

1237001 NINE, BRADLEY

GENERAL PRACTICE

2900 1ST AVE

HUNTINGTON, WV 25702

PCP

1746017 PATTERSON, CAROL L

INTERNAL MEDICINE

2900 1ST AVE RM 1022

HUNTINGTON, WV 25702

(304) 399-7484

PCP

1812001 REVELL, DAVID

FAMILY PRACTICE

1102 MEMORIAL BLVD W

HUNTINGTON, WV 25701

(304) 525-7034

PCP

0909031 SAVORY, LINDA M

FAMILY PRACTICE

1305 ELM ST E

HUNTINGTON, WV 25701

(304) 697-7000

PCP

0381001 SIMPSON, FRIDAY G

FAMILY PRACTICE

2627 5TH AVE

HUNTINGTON, WV 25702

(304) 522-0252

PCP

0909080 SOMANI, POONAM

INTERNAL MEDICINE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

1758032 TACKETT, EVA

INTERNAL MEDICINE

1600 MEDICAL CENTER DRIVE

SUITE G500

HUNTINGTON, WV 25701

PCP

0909038 TOPPINGS, BETH

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

- 21 -

Page 24: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CABELL COUNTY0391004 WALLACE, JANET N

FAMILY PRACTICE

2900 1ST AVE

HUNTINGTON, WV 25702

PCP

0909083 WATTS, SHANNON

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

0909073 WEHRHEIM, HEIDI

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2175

PCP

1876001 WILCOX, STEPHEN N

FAMILY PRACTICE

2 STONECREST DR

HUNTINGTON, WV 25701

(304) 525-3328

PCP

0909043 WONG, DOMINIQUE

FAMILY PRACTICE

1340 HAL GREER BLVD

HUNTINGTON, WV 25701

(304) 526-2000

PCP

CALHOUN COUNTY0787006 BALASUBRAMONY, SURESH

INTERNAL MEDICINE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0787055 BLAKE, PAUL T

INTERNAL MEDICINE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9707

PCP

0787050 CAIN, RICHARD E

FAMILY PRACTICE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

2004002 CINCO, ALFONSO P

INTERNAL MEDICINE

RR 1 BOX 1A

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0787051 GARLAPATI, SRIKANTH

PEDIATRICS

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 462-7322

PCP

0787053 JONES, CATHY S

PEDIATRICS

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0787019 KEVAK, RUDOLPH M

INTERNAL MEDICINE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

2004003 SMITH, STACI C

UNKNOWN SPECIALTY

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

- 22 -

Page 25: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CALHOUN COUNTY0787049 SPENCER, RICHARD A

FAMILY PRACTICE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0749003 WHITAKER, CHARLES F

PEDIATRICS

2B HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 485-7374

PCP

0787052 YADIKI, BHANU P

FAMILY PRACTICE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0787043 FINCHAM, JASON

FAMILY PRACTICE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

0787046 HUSSAIN, ROSHAN

FAMILY PRACTICE

186 HOSPITAL DR

GRANTSVILLE, WV 26147

(304) 354-9244

PCP

CLAY COUNTY1972001 LIZEMORE ELEMENTARY SCHOOL WEL

SCHOOL BASED HEALTH CENTER

1 LIZEMORE ST

LIZEMORES, WV 25125

(304) 587-4823

Accepting New Patients: Yes

CCP

1676001 BIG OTTER CLINIC

MULTISPECIALTY GROUP

797 CLINIC DR

IVYDALE, WV 25113

(304) 286-4200

CCP

1677001 BIG OTTER ELEM SCHOOL WELLNESS

SCHOOL BASED HEALTH CENTER

59 OSSIA RD

DUCK, WV 25063

(304) 286-2838

CCP

1678001 CLAY ELEMENTARY WELLNESS CENTE

SCHOOL BASED HEALTH CENTER

168 CHURCH ST

CLAY, WV 25043

(304) 587-6045

CCP

1680001 CLAY HIGH SCHOOL WELLNESS CTR

SCHOOL BASED HEALTH CENTER

ONE PANTHER DR

CLAY, WV 25043

(304) 587-2867

CCP

1679001 CLAY MIDDLE SCHOOL WELLNESS CT

SCHOOL BASED HEALTH CENTER

236 CHURCH ST

CLAY, WV 25043

(304) 587-4375

CCP

1910001 HE WHITE ELEMENTARY SCHOOL WEL

SCHOOL BASED HEALTH CENTER

501 BOMONT RD

BOMONT, WV 25030

(304) 548-7101

Accepting New Patients: Yes

CCP

1681001 PRIMARY CARE SYSTEMS INC

MULTISPECIALTY GROUP

122 CENTER ST

CLAY, WV 25043

(304) 587-7301

CCP

- 23 -

Page 26: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

CLAY COUNTY1873001 JAMIE, SHARON S

FAMILY PRACTICE

PO BOX 10

43 MAIN ST

CLAY, WV 25043

PCP

DODDRIDGE COUNTY

2109001 DODDRIDGE MEDICAL CENTER

MULTISPECIALTY GROUP

104 COLUMBIA ST

WEST UNION, WV 26456

(304) 873-2590

Accepting New Patients: Yes

CCP

1058015 BUTT, SAAD

INTERNAL MEDICINE

79 BULLDOG DR

WEST UNION, WV 26456

(304) 643-4005

PCP

1058012 HORACEK, MARILYN

FAMILY PRACTICE

190 MARIE STREET

WEST UNION, WV 26456

(304) 643-4005

PCP

1058006 DUNAVANT, KELLY

FAMILY PRACTICE

117 W MAIN ST

WEST UNION, WV 26456

PCP

FAYETTE COUNTY2041001 ACCESSHEALTH FAYETTE CLINIC

MULTISPECIALTY GROUP

ONE PHYSICIANS PLAZA

LOCHGELLY, WV 25866

(304) 469-3334

Accepting New Patients: Yes

CCP

1718001 NEW RIVER HEALTH COLLINS MIDDL

MULTISPECIALTY GROUP

604 JONES AVE

OAK HILL, WV 25901

(304) 469-4875

Accepting New Patients: Yes

CCP

1721001 NEW RIVER ELEMENTARY SCHOOL

MULTISPECIALTY GROUP

262 OYLER AVE

OAK HILL, WV 25901

(304) 465-2171

Accepting New Patients: Yes

CCP

1712001 NEW RIVER FAMILY HEALTH CENTER

MULTISPECIALTY GROUP

908 SCARBRO RD

SCARBRO, WV 25917

(304) 442-8284

Accepting New Patients: Yes

CCP

1713001 NEW RIVER HEALTH ASSOCIATION

MULTISPECIALTY GROUP

57 SUTPHIN LN

SCARBRO, WV 25917

(304) 469-3345

Accepting New Patients: Yes

CCP

1717001 NEW RIVER HEALTH COAL CITY ELE

MULTISPECIALTY GROUP

900 INDEPENDENCE LANE

PO BOX 1240

COAL CITY, WV 25812

(304) 683-6904

Accepting New Patients: Yes

CCP

1722001 NEW RIVER HEALTH OAK HILL HS

MULTISPECIALTY GROUP

350 W OYLER AVE

OAK HILL, WV 25901

(304) 469-6331

Accepting New Patients: Yes

CCP

- 24 -

Page 27: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

FAYETTE COUNTY1752001 NEW RIVER VALLEY SCHOOL BASED

MULTISPECIALTY GROUP

59 GREYHOUND LANE

SMITHERS, WV 25186

(304) 981-4983

Accepting New Patients: Yes

CCP

1714001 NORTH FAYETTE FAMILY HEALTH

MULTISPECIALTY GROUP

221 W MAPLE AVE

FAYETTEVILLE, WV 25840

(304) 574-3960

Accepting New Patients: Yes

CCP

1177003 ACKLIN, TRACI B

PEDIATRICS

401 6TH AVE

MONTGOMERY, WV 25136

(304) 442-8516

PCP

0956001 AKERBERG, FRED L

FAMILY PRACTICE

PO BOX 330

MONTGOMERY, WV 25136

(304) 442-9582

PCP

0973001 ASHBY, DIANE E

FAMILY PRACTICE

207 W MAPLE AVE

FAYETTEVILLE, WV 25840

(304) 574-1575

PCP

1406002 ASHIR, MOHAMMAD A

PEDIATRICS

435 MAIN ST W

OAK HILL, WV 25901

(304) 253-5763

PCP

1169002 ATASSI, SAMMAR

INTERNAL MEDICINE

401 6TH AVE

MONTGOMERY, WV 25136

(304) 442-8381

PCP

1177008 BOWE, RONALD D

INTERNAL MEDICINE

401 6TH AVE # M

MONTGOMERY, WV 25136

(304) 442-2521

PCP

1590002 FACELLO, DAVID

FAMILY PRACTICE

401 SIXTH AVE

SUITE 101

MONTGOMERY, WV 25136

(304) 442-2521

PCP

1590001 FAMULARRONO, E MICHAEL T

FAMILY PRACTICE

401 SIXTH AVE SUITE 101

MONTGOMERY, WV 25136

(304) 442-2521

PCP

0918001 LOOT, SARAH O

PEDIATRICS

101 SCHOOL ST

OAK HILL, WV 25901

(304) 469-2582

PCP

1371004 MADUCDOC, SERAFINO

FAMILY PRACTICE

320 JONES AVE

OAK HILL, WV 25901

(304) 469-2500

PCP

0973008 MCNEEL, JACOB C

FAMILY PRACTICE

201 JONES AVE STE 3

OAK HILL, WV 25901

(304) 465-5605

PCP

0521002 PETERSEN, BRUCE N

INTERNAL MEDICINE

119 MAIN ST W STE A

OAK HILL, WV 25901

(304) 465-0544

PCP

- 25 -

Page 28: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

FAYETTE COUNTY0521003 PETERSEN, MILLIE W

FAMILY PRACTICE

119 MAIN ST W # A

OAK HILL, WV 25901

(304) 465-0544

PCP

2038001 PETTRY-HULTMAN, KAREN

FAMILY PRACTICE

5495 MAPLE LN

FAYETTEVILLE, WV 25840

(304) 574-2600

PCP

1564001 PETTRY-HULTMAN, KAREN L

FAMILY PRACTICE

439 ELIZABETH HWY

FAYETTEVILLE, WV 25840

(304) 574-2600

PCP

1169007 SCARLATESCU, SORIN

INTERNAL MEDICINE

401 6TH AVE STE 102

MONTGOMERY, WV 25136

(304) 442-8381

PCP

1590009 WHITE, JONATHAN

FAMILY PRACTICE

401 6TH AVE

MONTGOMERY, WV 25136

(304) 442-7435

PCP

1143001 WHITE, MARK D

FAMILY PRACTICE

5495 MAPLE LN

FAYETTEVILLE, WV 25840

(304) 574-1888

PCP

1590008 AMJAD, MOHAMMAD

INTERNAL MEDICINE

401 6TH AVE

MONTGOMERY, WV 25136

(304) 442-7435

PCP

1387004 BHIRUD, NILIMA R

INTERNAL MEDICINE

401 6TH AVE STE 201

MONTGOMERY, WV 25136

(304) 388-6250

PCP

1590006 BURDETTE, CHARLES

FAMILY PRACTICE

401 6TH AVE

MONTGOMERY, WV 25136

(304) 438-5614

PCP

1143003 COOK, LEWIS A

FAMILY PRACTICE

5495 MAPLE LN

FAYETTEVILLE, WV 25840

(719) 277-7545

PCP

1590007 HAWKINS, KRISTINA

FAMILY PRACTICE

401 6TH AVE

MONTGOMERY, WV 25136

(305) 442-5151

PCP

1371009 KEAVENY, LORA

FAMILY PRACTICE

119 MAIN ST W STE A

OAK HILL, WV 25901

(877) 455-4778

PCP

1871001 KEFFER, SCOTT

FAMILY PRACTICE

PO BOX 1

123 JAMES RIVER & KANAWHA TURN

ANSTED, WV 25812

(855) 250-3054

PCP

1371008 MEREDITH, JODY A

INTERNAL MEDICINE

430 MAIN ST W

OAK HILL, WV 25901

(877) 455-4778

PCP

- 26 -

Page 29: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

FAYETTE COUNTY1371010 PETERSEN, MILLIE

FAMILY PRACTICE

119 MAIN ST W STE A

OAK HILL, WV 25901

(877) 455-4778

PCP

0613025 TAYLOR, MICHAEL

FAMILY PRACTICE

101 FLORENCE STREET

ANSTED, WV 25812

(292) 523-3600

PCP

0705007 TIMBAYAN, ADIN L

GENERAL PRACTICE

411 WASHINGTON ST

MONTGOMERY, WV 25136

(304) 442-4204

PCP

1853001 ULLAH, MOHAMMAD A

FAMILY PRACTICE

435 MAIN ST W

OAK HILL, WV 25901

(304) 465-5066

PCP

GARRETT COUNTY

2136001 WVUH GARRETT MEDICAL GROUP

MULTISPECIALTY GROUP

311 N 4TH ST

OAKLAND, MD 21550

(301) 334-8171

Accepting New Patients: Yes

CCP

2170001 WVUH GARRETT MEDICAL GROUP

MULTISPECIALTY GROUP

250 MAPLE ST

FRIENDSVILLE, MD 21531

(301) 746-4160

Accepting New Patients: Yes

CCP

GILMER COUNTY

2004001 GARLAPATI, SRIKANTH

PEDIATRICS

921 MINERAL RD STE 101

GLENVILLE, WV 26351

(304) 462-7322

PCP

0141001 MILLER, HILARY D

FAMILY PRACTICE

604 W MAIN ST

GLENVILLE, WV 26351

(304) 462-7460

PCP

0787047 HUSSAIN, ROSHAN

FAMILY PRACTICE

809 MEDICAL DR STE 1

GLENVILLE, WV 26351

(304) 354-9244

PCP

GRANT COUNTY0677024 ARMSTRONG, CAROLINE A

INTERNAL MEDICINE

111 S GROVE ST STE 1

PETERSBURG, WV 26847

(304) 257-2556

PCP

0879027 KUNKEL, ALLAN B

FAMILY PRACTICE

14311 GEORGE WASHINGTON HWY

MOUNT STORM, WV 26739

(304) 265-0312

PCP

- 27 -

Page 30: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GRANT COUNTY1571001 LEE, JOAN

PEDIATRICS

1 HOSPITAL DR

PETERSBURG, WV 26847

(540) 678-3588

PCP

0677023 LESLIE, BENJAMIN

INTERNAL MEDICINE

111 S GROVE ST STE 1

PETERSBURG, WV 26847

(304) 257-2556

PCP

2084001 LESLIE, BENJAMIN C

INTERNAL MEDICINE

65 HOSPITAL DR STE 102

PETERSBURG, WV 26847

(304) 257-2527

PCP

0839002 LESLIE, BRUCE W

INTERNAL MEDICINE

GRANT MEM DR/PIDC/STE 102

PETERSBURG, WV 26847

(304) 257-2527

PCP

0677028 OTOME, UGOEZE C

PEDIATRICS

ROUTE 55

PETERSBURG, WV 26847

(304) 897-5915

PCP

0625013 ROGERS, LARRY

FAMILY PRACTICE

65 HOSPITAL DR

PETERSBURG, WV 26847

(304) 257-4511

PCP

1009001 ROGERS, LARRY C

FAMILY PRACTICE

7 MEMORIAL DR

PETERSBURG, WV 26847

(304) 257-4511

PCP

0537092 STEMPLE, MARIE A

INTERNAL MEDICINE

15 GRANT ST

PETERSBURG, WV 26847

(828) 257-2333

PCP

0493002 THOMPSON, STEPHEN C

INTERNAL MEDICINE

65 HOSPITAL DR STE 102

PETERSBURG, WV 26847

(304) 257-1469

PCP

0625001 ABRAHAM, FRANK M

INTERNAL MEDICINE

PO BOX 1019

PETERSBURG, WV 26847

PCP

0493004 ARMSTRONG, CAROLINE A

INTERNAL MEDICINE

117 HOSPITAL DR

PETERSBURG, WV 26847

(304) 257-2698

PCP

0489001 BENSENHAVER, DEWEY F

FAMILY PRACTICE

HC 30 BOX 95

PETERSBURG, WV 26847

(304) 257-1944

PCP

0840003 LESLIE, BRUCE

INTERNAL MEDICINE

65 HOSPITAL DR STE 102

PETERSBURG, WV 26847

(304) 257-2527

PCP

1340003 SALIH, SALWA

INTERNAL MEDICINE

117 HOSPITAL DR

PETERSBURG, WV 26847

(800) 998-7578

PCP

GREENBRIER COUNTY

- 28 -

Page 31: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY2047001 ACCESSHEALTH WILLIAMSBURG

MULTISPECIALTY GROUP

8965 SHOESTRING TRAIL

WILLIAMSBURG, WV 24991

(304) 645-7872

Accepting New Patients: Yes

CCP

2183001 RAINELLE MEDICAL CENTER INC

MULTISPECIALTY GROUP

645 KANAWHA AVE

RAINELLE, WV 25962

(304) 438-6188

Accepting New Patients: Yes

CCP

0586015 AHSANUDDIN, ASH A

INTERNAL MEDICINE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

1746029 ALLAN, BENJAMIN L

FAMILY PRACTICE

5 ALVON RD STE 7

WHT SPHR SPGS, WV 24986

(304) 697-2035

PCP

1746030 ALLAN, BENJAMIN L

FAMILY PRACTICE

PO BOX 88

WHT SPHR SPGS, WV 24986

(304) 526-1234

PCP

0513002 ALLEN, DAVID P

FAMILY PRACTICE

1102 MAIN ST STE A

RAINELLE, WV 25962

(304) 536-5044

PCP

0513042 ALLEN-LOPEZ, KELLY E

FAMILY PRACTICE

1102 MAIN ST STE A

RAINELLE, WV 25962

(304) 536-5044

PCP

0586001 ANDERSON, CONSTANCE

FAMILY PRACTICE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

0617001 BOISVERT, CRAIG S

UNKNOWN SPECIALTY

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617002 BOXWELL, GEORGE F

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0682004 BROWNING, PATRICIA M

FAMILY PRACTICE

PO BOX 10

RT 9 SINKING CREEK RD

WILLIAMSBURG, WV 24991

(304) 645-7872

PCP

0682005 BROWNING, WILLIAM M

FAMILY PRACTICE

RT 9 SINKING CREEK RD

WILLIAMSBURG, WV 24991

(304) 645-7872

PCP

0617003 BUNDY, EARL D

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617026 BYRD, LORRAINE R

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

- 29 -

Page 32: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY0586017 BYRD, MARK

INTERNAL MEDICINE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-1148

PCP

1536001 CANTERBURY, JAYNE L

FAMILY PRACTICE

RT 92 BOX 16 HC 70

WHITE SULP SPGS, WV 24986

(304) 536-1014

PCP

0617065 COCHRAN, JILL D

PEDIATRICS

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617004 COMEAUX, ZACHARY

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0586027 DAVIS, MATTHEW A

FAMILY PRACTICE

202 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

0586021 DAVIS, MATTHEW A

FAMILY PRACTICE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5114

PCP

0586025 DILLY, JAMIE L

FAMILY PRACTICE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

0586003 DUKART, WILLIAM S

PEDIATRICS

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-1146

PCP

0617021 ELLISON, JULIA C

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617040 FOGLE, ALBERT R

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617062 FRANK, ABIGAIL

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617046 FRANK, ABIGAIL

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617024 GARLITZ, JOHN M

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0933001 GLASER, MARILYN K

FAMILY PRACTICE

205 ALTA DRIVE

ALDERSON, WV 24910

(304) 645-4043

PCP

- 30 -

Page 33: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY0513043 GOFF, AMY M

FAMILY PRACTICE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(304) 645-3207

PCP

0514003 GORDINHO, JOSE J

INTERNAL MEDICINE

1109 GREENBRIER ST

RUPERT, WV 25984

(304) 254-9022

PCP

0617022 GUNTER, KATHY S

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617070 HAMRIC, HILLARY

PEDIATRICS

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0682001 HYLER-BOTH, DAVID

FAMILY PRACTICE

PO BOX 10

RT 9 SINKING CREEK RD

WILLIAMSBURG, WV 24991

(304) 645-7872

PCP

0586020 IRVINE, JESSICA

FAMILY PRACTICE

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

1592001 JARVIS, PHILLIP E

INTERNAL MEDICINE

512 MAIN ST

RAINELLE, WV 25962

(304) 438-5550

PCP

1880002 JEWELL, MARIE B

FAMILY PRACTICE

167 KATES MOUNTAIN ROAD

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

0617069 JOHNSON, RACHEL

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617028 JOHNSON, RACHEL L

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

1344003 JOHNSON III, JOHN H

PEDIATRICS

PO BOX 460

WHT SPHR SPGS, WV 24986

(304) 255-0800

PCP

1880003 KLINE, RICHARD B

PEDIATRICS

167 KATES MOUNTAIN RD

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

0617025 KNEPP, GARY L

GERIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617008 LALLY, PATRICIA E

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

- 31 -

Page 34: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY0617038 LANDVOIGT, MAPLE T

INTERNAL MEDICINE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617067 LANDVOIGT, MAPLE T

PEDIATRICS

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617068 LOT, LUCY

PEDIATRICS

1464 JEFFERSTON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617031 MARTIN, KATHLEEN J

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617032 MCCLEARY, THOMAS G

INTERNAL MEDICINE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

1430001 MCCLUNG, CHARLES S

FAMILY PRACTICE

226 SKYLAR DR

PO BOX 1849

LEWISBURG, WV 24901

(304) 647-9971

PCP

0617009 MCCRUM, MARY

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0513049 MCKELVEY, MARY E

INTERNAL MEDICINE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(508) 836-3663

PCP

0586022 MEEKS, LEIGH A

PEDIATRICS

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

0617053 MEEKS, LEIGH A

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617055 MEEKS, LEIGH A

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617010 MITCHELL, HELEN M

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617063 MORRISON, CAROLYN B

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617049 MORRISON, CAROLYN B

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 466-2956

PCP

- 32 -

Page 35: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY0586016 MORRISON, KATHERINE M

PEDIATRICS

200 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-5115

PCP

0617011 NAZAR, ANDREA M

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617064 NAZAR, ANDREA M

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617012 PENCE, LORENZO

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617059 PROCTOR, JEREMY

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617041 PROCTOR, JEREMY A

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617033 RICHARDS, BRIAN G

INTERNAL MEDICINE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

1397002 RICHARDS, BRIAN G

INTERNAL MEDICINE

323 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3280

PCP

0617013 RICHMOND, MICHAEL

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617027 ROHALEY, KIMBERLY M

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617071 ROSS, GARY D

INTERNAL MEDICINE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

1823005 RYAN, PATRICK T

INTERNAL MEDICINE

320 W MAIN ST

WHT SULPHUR SPG, WV 24986

(304) 536-4870

PCP

0589119 RYAN, PATRICK T

INTERNAL MEDICINE

1265 MAPLEWOOD AVE

LEWISBURG, WV 24901

(304) 647-2700

PCP

0617029 RYAN, PATRICK T

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

- 33 -

Page 36: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY1956002 RYAN, PATRICK T

PEDIATRICS

1320 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(888) 952-6772

PCP

0939001 SAMS, DEBRA C

FAMILY PRACTICE

122 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 645-4406

PCP

0617047 SCHAPER, DINA

FAMILY PRACTICE

RR 20 BOX 188A

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617057 SCHAPER, DINA

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617035 SCHMIDT, DEBORAH

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0805001 SHIREY, ROBERT A

INTERNAL MEDICINE

17 RED OAKS SHOPPING CTR

RONCEVERTE, WV 24970

(304) 645-1117

PCP

0617034 SHOWALTER, KELLY R

PEDIATRICS

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617037 SHUMAN, VICTORIA L

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617015 SMITH, BELINDA K

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617058 SMITH, BELINDA K

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

1880004 SMITH, BELINDA K

FAMILY PRACTICE

167 KATES MOUNTAIN RD

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

0617023 SMITH, DONALD C

GENERAL PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0513031 SMITH, LYNN N

INTERNAL MEDICINE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(304) 536-5030

PCP

0617054 SMITH-KELLY, JESSICA B

INTERNAL MEDICINE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

- 34 -

Page 37: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY0617052 STANLEY, ROBERT C

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617016 STEELE, THOMAS

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617051 STRALEY, DARYN B

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617017 SWARM, GAIL M

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617066 SWARM, GAIL M

FAMILY PRACTICE

1464 JEFFERSON ST N

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617036 THOMAS, EMILY R

INTERNAL MEDICINE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0617020 WAHL, JEANNE M

FAMILY PRACTICE

400 N JEFFERSON ST

LEWISBURG, WV 24901

(304) 645-3220

PCP

0513035 WORKMAN, TIMOTHY O

FAMILY PRACTICE

104 E FAIR ST

LEWISBURG, WV 24901

(304) 536-5030

PCP

0513048 WORKMAN, TIMOTHY O

FAMILY PRACTICE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(304) 536-5044

PCP

1823003 DOTSON, THOMAS O

INTERNAL MEDICINE

320 W MAIN ST

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

1833001 DOUGLAS, JILLIAN

INTERNAL MEDICINE

RR 2 BOX 169C

LEWISBURG, WV 24901

(304) 598-1200

PCP

1841001 FAULKINER, KELBY

FAMILY PRACTICE

202 MAPLEWOOD AVE

RONCEVERTE, WV 24970

(304) 647-4411

PCP

1833002 JEFFRIES DO, JUSTIN W

FAMILY PRACTICE

203 DAWKINS DR STE A

LEWISBURG, WV 24901

(877) 309-5308

PCP

1746016 LAUFFER, ANDREA M

INTERNAL MEDICINE

147 WILLOW TREE WAY

HURRICANE, WV 24986

(304) 603-6276

PCP

- 35 -

Page 38: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

GREENBRIER COUNTY1746021 MEHDINASAB, LEYLA

INTERNAL MEDICINE

PO BOX 88

WHT SPHR SPGS, WV 24986

(813) 695-5698

PCP

1184003 MERIWETHER, COLLEEN

UNKNOWN SPECIALTY

508 E MAIN ST

WHT SULPHUR S, WV 24986

(304) 536-3665

PCP

0513045 OTHMAN, ZAINAB S

INTERNAL MEDICINE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(304) 536-5044

PCP

0513041 RAGSDALE, DORIS A

INTERNAL MEDICINE

RT 92

WHT SLPHR SPRIN, WV 24986

(304) 536-5030

PCP

0513028 RAGSDALE, DORRIS A

INTERNAL MEDICINE

RR 2 BOX 171

LEWISBURG, WV 24901

(320) 736-5030

PCP

0513044 RAGSDALE, DORRIS A

INTERNAL MEDICINE

3738 DAVIS STUART RD

LEWISBURG, WV 24901

(304) 645-3207

PCP

0536043 REHBERG, NEAL

FAMILY PRACTICE

804 INDUSTRIAL PARK RD

MAXWELTON, WV 24957

PCP

1823002 ROMEO, M SUZANNE S

INTERNAL MEDICINE

320 W MAIN ST

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

1880001 STALL, TAMARA

FAMILY PRACTICE

167 KATES MOUNTAIN RD

WHT SULPHUR S, WV 24986

(304) 536-4870

PCP

1823001 THOMPSON, GEORGE R

INTERNAL MEDICINE

320 W MAIN ST

WHT SPHR SPGS, WV 24986

(304) 536-4870

PCP

0811001 WILSON, KENDALL

FAMILY PRACTICE

505 LEE ST N

LEWISBURG, WV 24901

(304) 645-2154

PCP

GREENE COUNTY2169001 WAYNESBURG PRIMARY CARE

MULTISPECIALTY GROUP

1135 8TH ST

WAYNESBURG, PA 15370

(724) 627-3379

Accepting New Patients: Yes

CCP

HAMPSHIRE COUNTY

- 36 -

Page 39: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HAMPSHIRE COUNTY1378001 CHOWDHURY, ABDUR R

PEDIATRICS

549 CENTER AVE

ROMNEY, WV 26757

(304) 822-7958

PCP

1154006 HAHN, JERRY M

FAMILY PRACTICE

RT 50 E SUNRISE PROF BLDG

ROMNEY, WV 26757

(304) 822-3838

PCP

1295001 HAYWOOD, ANTHONY K

FAMILY PRACTICE

ROUTE 50 EAST

ROMNEY, WV 26757

(304) 597-6000

PCP

1154011 MENON, SURECH K

FAMILY PRACTICE

22347 NORTHWESTERN PIKE

ROMNEY, WV 26757

(304) 822-3838

PCP

1862001 POKHAREL, REHA

INTERNAL MEDICINE

329 SUNRISE BLVD

ROMNEY, WV 26757

(800) 684-7457

PCP

HANCOCK COUNTY0389001 ARORA, RUPINDER

INTERNAL MEDICINE

PO BOX 2984

WEIRTON, WV 26062

(304) 723-6061

PCP

1952005 CAPITO, JOHN E

INTERNAL MEDICINE

703 COLLIERS WAY

WEIRTON, WV 26062

(304) 723-3355

PCP

1408004 CASTALDO, CAMILLE

UNKNOWN SPECIALTY

651 COLLIERS WAY STE 411

WEIRTON, WV 26062

(304) 723-3007

PCP

1952002 CASTALDO, CAMILLE J

FAMILY PRACTICE

651 COLLIERS WAY

WEIRTON, WV 26062

(304) 723-3007

PCP

1952006 CHERIAN, JOHN

INTERNAL MEDICINE

601 COLLIERS WAY STE 301

WEIRTON, WV 26062

(412) 428-7700

PCP

1952003 COWHER, CHRISTOPHER J

INTERNAL MEDICINE

651 COLLIERS WAY

WEIRTON, WV 26062

(304) 723-3007

PCP

0247001 GRECO, RAY S

FAMILY PRACTICE

2416 PENNSYLVANIA AVE # 24

WEIRTON, WV 26062

(304) 723-1300

PCP

1599001 GUPTA, SANJAY

INTERNAL MEDICINE

485 COLLIERS WAY STE A

WEIRTON, WV 26062

(304) 723-5500

PCP

- 37 -

Page 40: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HANCOCK COUNTY1616001 HANSON, GARY A

INTERNAL MEDICINE

2619 PENNSYLVANIA AVE STE 2

WEIRTON, WV 26062

(304) 723-0200

PCP

1952007 JOHN, CHERIAN

INTERNAL MEDICINE

651 COLLIERS WAY

WEIRTON, WV 26062

(412) 428-7700

PCP

1952001 KHURANA, AMAR N

INTERNAL MEDICINE

485 COLLIERS WAY STE E1

WEIRTON, WV 26062

(304) 723-6100

PCP

1634001 NOBLE, LISA I

PEDIATRICS

651 COLLIERS WAY STE 506

WEIRTON, WV 26062

(304) 797-6520

PCP

1275001 NOBLE, LISA S

PEDIATRICS

3045 PENNSYLVANIA AVE STE 3

WEIRTON, WV 26062

(304) 723-4000

PCP

1275002 NOBLE, LISA S

PEDIATRICS

601 COLLIERS WAY

WEIRTON, WV 26062

(304) 723-4000

PCP

0544019 PUREWAL, GUNEET

INTERNAL MEDICINE

651 COLLIERS WAY STE 410

WEIRTON, WV 26062

(304) 723-4000

PCP

0324001 ROS, ANTON

FAMILY PRACTICE

135 PALM DR

WEIRTON, WV 26062

(304) 723-2929

PCP

0027003 SAIEED, SAIEED H

INTERNAL MEDICINE

651 COLLIERS WAY STE 409

WEIRTON, WV 26062

(800) 240-3090

PCP

1421001 SCHREIBER, JOSEPH

FAMILY PRACTICE

334 PENCO RD

WEIRTON, WV 26062

(304) 723-2800

PCP

0315002 SCHULTZ, JOHN P

FAMILY PRACTICE

651 COLLIERS WAY STE 501

PO BOX 2613

WEIRTON, WV 26062

(304) 723-3967

PCP

1275004 SENINGEN, AIMEE E

PEDIATRICS

3045 PENNSYLVANIA AVE

WEIRTON, WV 26062

(304) 723-4000

PCP

0005001 SHETTY, ATUL

INTERNAL MEDICINE

485 COLLIERS WAY STE M

WEIRTON, WV 26062

(304) 723-5400

PCP

1275003 SURAY, ANNA M

PEDIATRICS

3045 PENNSYLVANIA AVE

PO BOX 2304

WEIRTON, WV 26062

(304) 723-4000

PCP

- 38 -

Page 41: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HANCOCK COUNTY1763001 TAMBOLI, JASMINE

FAMILY PRACTICE

2814 PENNSYLVANIA AVE

WEIRTON, WV 26062

(800) 858-4191

PCP

0099001 TRANTO, MARIA N

INTERNAL MEDICINE

3665 PENNSYLVANIA AVE

WEIRTON, WV 26062

(304) 723-4040

PCP

1952004 BRAVO, KEITH

PEDIATRICS

651 COLLIERS WAY STE 502

WEIRTON, WV 26062

(412) 428-7700

PCP

1836002 CHERIAN, JOHN

INTERNAL MEDICINE

601 COLLIERS WAY

WEIRTON, WV 26062

(304) 723-6040

PCP

1851001 GIANNAMORE, MICHAEL

INTERNAL MEDICINE

117B THREE SPRINGS DRIVE

WEIRTON, WV 26062

(740) 282-4503

PCP

0284012 KUBICKI, KRZYSZTOF

INTERNAL MEDICINE

651 COLLIERS WAY STE 506A

WEIRTON, WV 26062

(724) 274-4320

PCP

1825001 PUREWAL, GUNEET

INTERNAL MEDICINE

485 COLLIERS WAY STE B

WEIRTON, WV 26062

(304) 723-3404

PCP

0414002 SHAH, ATUL

INTERNAL MEDICINE

PO BOX 3169

WEIRTON, WV 26062

(740) 765-4368

PCP

1836004 THIMMIAH, RAMESH

INTERNAL MEDICINE

111 FIRST AVE

CHESTSER, WV 26034

(304) 527-1747

PCP

HARDY COUNTY1863008 BEANE, JAMES

FAMILY PRACTICE

747 N MAIN ST STE C

MOOREFIELD, WV 26836

(304) 424-7200

PCP

0677019 GEHMAN, LINFORD K

FAMILY PRACTICE

106 HAROLD K MICHAELS DR

MATHIAS, WV 26812

(304) 897-7400

PCP

1154002 HAHN, JERRY M

FAMILY PRACTICE

RT 259 OLD WARDENSVILLE S

WARDENSVILLE, WV 26851

(304) 822-3838

PCP

1154013 HAHN, JERRY M

FAMILY PRACTICE

422 S MAIN ST

MOOREFIELD, WV 26836

(304) 822-3838

PCP

- 39 -

Page 42: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARDY COUNTY1154014 KITZMILLER, MELISSA D

FAMILY PRACTICE

422 S MAIN ST

MOOREFIELD, WV 26836

(304) 822-3838

PCP

0677026 LESLIE, BENJAMIN

INTERNAL MEDICINE

259 COUGAR DR

BAKER, WV 26801

(304) 897-5915

PCP

0677027 LESLIE, BENJAMIN C

INTERNAL MEDICINE

8 LEE ST

MOOREFIELD, WV 26836

(304) 897-5915

PCP

0677011 LEWIS, WILLIAM D

FAMILY PRACTICE

106 HAROLD K MICHAEL DR

MATHIAS, WV 26812

(304) 897-7400

PCP

1582001 MASIH, RAVI B

INTERNAL MEDICINE

747 NORTH MAIN ST

SUITE C

MOOREFIELD, WV 26836

(304) 530-8500

PCP

0677022 OTOME, UGOEZE C

PEDIATRICS

8 LEE ST

MOOREFIELD, WV 26836

(304) 897-5915

PCP

0677025 OTOME, UGOEZE C

PEDIATRICS

345 CALEDONIA HEIGHTS RD

MOOREFIELD, WV 26836

(304) 897-5915

PCP

1548001 PATTERSON, RALPH E

FAMILY PRACTICE

712 NORTH MAIN ST

SUITE 201 PO BOX 638

MOOREFIELD, WV 26836

(304) 530-5353

PCP

0583003 RIGGLEMAN, MICHAEL P

FAMILY PRACTICE

112 KUYKENDALL LN

MOOREFIELD, WV 26836

(304) 530-7755

PCP

0677012 RISING, JAMES

FAMILY PRACTICE

17978 SR 55

BAKER, WV 26801

(304) 897-5915

PCP

0677017 UMUNNAH, UGOEZE

PEDIATRICS

8 LEE ST

MOOREFIELD, WV 26836

(304) 538-7707

PCP

HARRISON COUNTY2008001 ALTERNATIVE LEARNING CTR WELL

MULTISPECIALTY GROUP

1349 SHINNSTON PIKE

CLARKSBURG, WV 26301

(304) 924-6262

Accepting New Patients: Yes

CCP

1950001 COMMUNITY CARE OF BRIDGEPORT

MULTISPECIALTY GROUP

65 PROFESSIONAL PL

SUITES 101 102 103

BRIDGEPORT, WV 26330

(304) 924-6262

Accepting New Patients: Yes

CCP

- 40 -

Page 43: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY1964001 SIMPSON ELEMENTARY SCHOOL

WELL

MULTISPECIALTY GROUP

250 WORTHINGTON DR

BRIDGEPORT, WV 26330

(304) 326-7060

Accepting New Patients: Yes

CCP

2007002 UNITED TECHNICAL CENTER WELL C

MULTISPECIALTY GROUP

251 MARIETTA ST

CLARKSBURG, WV 26301

(304) 924-6262

Accepting New Patients: Yes

CCP

2052001 WEST MILFORD COMMUNITY HEALTH

SCHOOL BASED HEALTH CENTER

924 LIBERTY STREET

WEST MILFORD, WV 26451

(304) 924-6262

Accepting New Patients: Yes

CCP

1939001 ADAMSTON ELEMENTARY SCHOOL

WEL

SCHOOL BASED HEALTH CENTER

1636 W PIKE ST

CLARKSBURG, WV 26301

(304) 326-7070

CCP

1926001 BIG ELM ELEMENTARY SCHOOL WELL

SCHOOL BASED HEALTH CENTER

200 TETRICK RD

SHINNSTON, WV 26431

(304) 592-5022

CCP

1940001 BRIDGEPORT HIGH SCHOOL WELLNES

SCHOOL BASED HEALTH CENTER

515 JOHNSTON AVE

BRIDGEPORT, WV 26330

(304) 842-6288

CCP

1946001 BRIDGEPORT MIDDLE SCHOOL WELLN

SCHOOL BASED HEALTH CENTER

413 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 326-7142

CCP

1777001 COMM CARE OF CLARKSBURG

EXPRES

MULTISPECIALTY GROUP

700 OAKMOUND RD

CLARKSBURG, WV 26301

(304) 623-6330

Accepting New Patients: Yes

CCP

1941001 JOHNSON ELEMENTARY SCHOOL

WELL

SCHOOL BASED HEALTH CENTER

531 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 326-7109

CCP

1942001 LIBERTY HIGH SCHOOL WELLNESS

SCHOOL BASED HEALTH CENTER

1 MOUNTAINEER DR

CLARKSBURG, WV 26301

(304) 326-7470

CCP

1927001 LINCOLN HIGH SCHOOL WELLNESS

SCHOOL BASED HEALTH CENTER

100 JERRY TOTH DR

SHINNSTON, WV 26431

(304) 592-5082

CCP

1929001 LINCOLN MIDDLE AND HIGH SCHOOL

SCHOOL BASED HEALTH CENTER

78 JERRY TOTH DR

SHINNSTON, WV 26431

(304) 584-4864

CCP

1921001 LOST CREEK ELEMENTARY SCHOOL

SCHOOL BASED HEALTH CENTER

128 COLLEGE ST

LOST CREEK, WV 26385

(304) 326-7040

CCP

1928001 LUMBERPORT ELEMENTARY SCHOOL

SCHOOL BASED HEALTH CENTER

38 E LYNDON ST

LUMBERPORT, WV 26386

(304) 584-4844

CCP

- 41 -

Page 44: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY1947001 MOUNTAINEER MIDDLE SCHOOL WELL

SCHOOL BASED HEALTH CENTER

2 MOUNTAINEER DR

CLARKSBURG, WV 26301

(304) 326-7620

CCP

1732001 MVA SHINNSTON MEDICAL CENTER

MULTISPECIALTY GROUP

1 COLUMBIA RD

SHINNSTON, WV 26431

(304) 592-1040

Accepting New Patients: Yes

CCP

1943001 NORTH VIEW ELEMENTARY SCHOOL

W

SCHOOL BASED HEALTH CENTER

1400 N 19TH ST

CLARKSBURG, WV 26301

(304) 326-7650

CCP

1944001 NORWOOD ELEMENTARY SCHOOL

WELL

SCHOOL BASED HEALTH CENTER

208 KIDD AVE

STONEWOOD, WV 26301

(304) 326-7050

CCP

1930001 NUTTER FORT INTERMEDIATE WELLN

SCHOOL BASED HEALTH CENTER

1302 BUCKHANNON PIKE

NUTTER FORT, WV 26301

(304) 624-4419

CCP

1932001 ROBERT C BYRD HS WELLNESS CTR

SCHOOL BASED HEALTH CENTER

1 EAGLE WAY

CLARKSBURG, WV 26301

(304) 623-3688

CCP

1938001 SALEM ELEMENTARY SCHOOL

WELLNE

SCHOOL BASED HEALTH CENTER

RR 1 BOX 10A

SALEM, WV 26426

(304) 326-7180

CCP

1923001 SOUTH HARRISON HIGH SCH WELLNE

SCHOOL BASED HEALTH CENTER

RR1 BOX 58

LOST CREEK, WV 26385

(304) 326-7440

CCP

1922001 SOUTH HARRISON MIDDLE SCHOOL

SCHOOL BASED HEALTH CENTER

RR1 BOX 58B

LOST CREEK, WV 26385

(304) 326-7460

CCP

1933001 WASHINGTON IRVING MIDDLE SCHOO

SCHOOL BASED HEALTH CENTER

443 LEE AVE

CLARKSBURG, WV 26301

(304) 623-4418

CCP

1924001 WEST MILFORD ELEMENTARY

SCHOOL

SCHOOL BASED HEALTH CENTER

226 SCHOOL ST

WEST MILFORD, WV 26451

(304) 326-7030

CCP

1595001 WEST MILFORD HEALTH CENTER

MULTISPECIALTY GROUP

597 LIBERTY ST

WEST MILFORD, WV 26451

(304) 745-4568

CCP

1945001 WILSONBURG ELEMENTARY SCHOOL

W

SCHOOL BASED HEALTH CENTER

1040 WILSONBURG RD

CLARKSBURG, WV 26301

(304) 326-7640

CCP

2115001 BRIDGEPORT PHYSICIANS CARE

MULTISPECIALTY GROUP

1511 JOHNSON AVE STE 104

BRIDGEPORT, WV 26330

(681) 342-3700

Accepting New Patients: Yes

CCP

- 42 -

Page 45: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY2108001 CLARKSBURG FAMILY MEDICINE

MULTISPECIALTY GROUP

2673 DAVISSON RUN RD

CLARKSBURG, WV 26301

(681) 342-3470

Accepting New Patients: Yes

CCP

2105001 SALEM FAMILY HEALTHCARE

MULTISPECIALTY GROUP

2373 W MAIN ST STE 202

SALEM, WV 26426

(304) 782-2000

Accepting New Patients: Yes

CCP

2111001 SHINNSTON HEALTH CARE

MULTISPECIALTY GROUP

686 S PIKE ST

SHINNSTON, WV 26431

(681) 342-3800

Accepting New Patients: Yes

CCP

2101001 UHC FAMILY MEDICINE

MULTISPECIALTY GROUP

527 MEDICAL PARK DR STE 500

BRIDGEPORT, WV 26330

(681) 342-3600

Accepting New Patients: Yes

CCP

2102001 UHC INTERNAL MEDICINE

MULTISPECIALTY GROUP

527 MEDICAL PARK DR STE 307

BRIDGEPORT, WV 26330

(681) 342-3500

Accepting New Patients: Yes

CCP

2107001 UPC BRIDGEPORT FAMILY HEALTHCA

MULTISPECIALTY GROUP

120 MEDICAL PARK DR

BRIDGEPORT, WV 26330

(681) 342-3300

Accepting New Patients: Yes

CCP

2106001 UPC BRIDGEPORT INTERNAL MEDICI

MULTISPECIALTY GROUP

16 STERLING DR STE 202

BRIDGEPORT, WV 26330

(304) 622-0294

Accepting New Patients: Yes

CCP

2113001 UPC BRIDGEPORT PEDIATRICS

MULTISPECIALTY GROUP

900 LODGEVILLE RD

BRIDGEPORT, WV 26330

(304) 842-3311

Accepting New Patients: Yes

CCP

2112001 UPC PEDIATRIC ASSOCAITES

MULTISPECIALTY GROUP

7 CHENOWETH DR

BRIDGEPORT, WV 26330

(304) 842-5777

Accepting New Patients: Yes

CCP

1756001 ADENIYI, OLATOKUNBO M

INTERNAL MEDICINE

200 ROUTE 98 W ST

NUTTER FORT, WV 26301

(304) 326-0092

PCP

0111001 ALLEN, ANNA M

FAMILY PRACTICE

469 EMILY DR

CLARKSBURG, WV 26301

(304) 423-5180

PCP

0359001 BAILEY JR, JAMES D

FAMILY PRACTICE

1370 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 842-7186

PCP

0359002 BOWERS, ROBERT J

FAMILY PRACTICE

1370 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 842-7186

PCP

0539103 BOYCE, DANIEL

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(717) 277-6565

PCP

- 43 -

Page 46: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY0539102 BOYCE, JILL A

GENERAL PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(717) 277-6565

PCP

0595007 CLARKE, KEVIN M

GENERAL PRACTICE

200 ROUTE 98 W ST STE 107

NUTTER FORT, WV 26301

(304) 623-5711

PCP

1239001 DAVIS, PAUL D

FAMILY PRACTICE

OLD ROUTE 50 WEST

PO BOX 392

SALEM, WV 26426

(304) 782-2000

PCP

1772003 FRYER, STEPHEN F

FAMILY PRACTICE

120 MEDICAL PARK DR

SUITE 300

BRIDGEPORT, WV 26330

(304) 624-7200

PCP

0539104 GABRIEL, JACLYN L

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(828) 257-2333

PCP

1063017 GARNER, SUSAN L

FAMILY PRACTICE

700 GENESIS BLVD

BRIDGEPORT, WV 26330

(304) 808-7100

PCP

1772002 HARMAN, HAELEY E

FAMILY PRACTICE

120 MEDICAL PARK DR STE 300

BRIDGEPORT, WV 26330

(304) 624-7200

PCP

1048002 HESS, DAVID E

FAMILY PRACTICE

215 W MAIN ST

BRIDGEPORT, WV 26330

(304) 842-6645

PCP

1657003 KING-SELARIO, NATALIE

FAMILY PRACTICE

1370 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 842-3330

PCP

1023001 LONGENECKER, JO

FAMILY PRACTICE

3006 HAWK HWY

LOST CREEK, WV 26385

(304) 745-3200

PCP

1239002 MENZEL, CHARLOTTE E

FAMILY PRACTICE

OLD ROUTE 50 WEST

SALEM, WV 26426

(304) 782-2000

PCP

1239007 MIKOWSKI, MARY

FAMILY PRACTICE

OLD ROUTE 50 WEST

PO BOX 392

SALEM, WV 26426

(304) 782-2000

PCP

1566001 MILAN, EDITA

PEDIATRICS

153 WEST MAIN ST

BRIDGEPORT, WV 26330

(877) 763-3031

PCP

0911003 MOMEN, JENNIFER J

PEDIATRICS

11 CHENOWETH DR

PO BOX 390

BRIDGEPORT, WV 26330

(304) 842-5777

PCP

- 44 -

Page 47: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY0111002 MONTGOMERY, MICHAEL T

FAMILY PRACTICE

469 EMILY DR

CLARKSBURG, WV 26301

(304) 423-5180

PCP

1772005 MURRAY, FRANCES B

FAMILY PRACTICE

120 MEDICAL PARK DR

SUITE 300

BRIDGEPORT, WV 26330

(304) 624-7200

PCP

0595008 NASHED, MAZEN

INTERNAL MEDICINE

200 ROUTE 98 W ST STE 107

NUTTER FORT, WV 26301

(304) 623-5711

PCP

1657001 PEASAK, TIMOTHY M

FAMILY PRACTICE

1370 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 842-3330

PCP

0164001 ROMANO, ROBERT P

FAMILY PRACTICE

1221 JOHNSON AVE STE 1100

BRIDGEPORT, WV 26330

PCP

0111003 ROMINE DO, ALAN R

FAMILY PRACTICE

469 EMILY DR

CLARKSBURG, WV 26301

(304) 423-5180

PCP

1107005 RUSH, SANDRA R

FAMILY PRACTICE

120 MEDICAL PARK DR STE 401

BRIDGEPORT, WV 26330

(304) 848-2000

PCP

1657002 SECRET, ASHLEE A

FAMILY PRACTICE

1370 JOHNSON AVE

BRIDGEPORT, WV 26330

(304) 842-3330

PCP

0539101 SINHA, RITA

INTERNAL MEDICINE

1 MED CENTER DR

CLARKSBURG, WV 26301

(717) 277-6565

PCP

1772006 WOOFTER, DOMINICK R

FAMILY PRACTICE

1664 E PIKE STREET

CLARKSBURG, WV 26301

(304) 624-7200

PCP

1772007 WOOFTER, ISHA

FAMILY PRACTICE

1664 E PIKE STREET

CLARKSBURG, WV 26301

(304) 709-7000

PCP

1772016 WOOFTER, ISHA

FAMILY PRACTICE

327 MEDICAL PARK DR

BRIDGEPORT, WV 26330

(304) 624-7200

PCP

0595013 ALCANTARA, FREDERICK M

FAMILY PRACTICE

527 MEDICAL PARK DR STE 204

BRIDGEPORT, WV 26330

(304) 933-3800

PCP

1056037 ANGOTTI, JOHN D

INTERNAL MEDICINE

16 STERLING DR STE 202

BRIDGEPORT, WV 26330

(304) 622-0294

PCP

- 45 -

Page 48: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY1056038 ANGOTTI, JOHN D

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

(304) 622-0294

PCP

1056043 ANGOTTI, MICHAEL

INTERNAL MEDICINE

710 GENESIS BLVD

BRIDGEPORT, WV 26330

(304) 622-1110

PCP

1056044 ANGOTTI, MICHAEL T

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

(304) 623-6330

PCP

0539093 AUSMUS, CRAIG

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

0539100 BELLOTTE, TRAVIS J

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

1043001 BOWLES, WILLIAM G

FAMILY PRACTICE

600 DAVISSON RUN RD STE 300

CLARKSBURG, WV 26301

(304) 623-1234

PCP

1043004 BOWLES, WILLIAM G

FAMILY PRACTICE

327 MEDICAL PARK DR

BRIDGEPORT, WV 26330

PCP

1019003 BRAGG, DANA E

FAMILY PRACTICE

527 MEDICAL PARK DR STE 101

BRIDGEPORT, WV 26330

(304) 933-3838

PCP

0539091 COMERCI, CATHY

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

0539098 DEVABHAKTUNI, PROMODA

GERIATRICS

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

0539096 GHERMAN, JILL

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(800) 733-0512

PCP

1822002 HARVEY, JESSICA

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

PCP

1239010 HUFFMAN, ANDREA A

FAMILY PRACTICE

2373 W MAIN ST SUITE 102

SALEM, WV 26426

(304) 782-2000

PCP

1239011 HUFFMAN, ANDREA A

FAMILY PRACTICE

327 MEDICAL PARK DR

BRIDGEPORT, WV 26330

(304) 782-2000

PCP

- 46 -

Page 49: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY0539031 JACKSON, SIDNEY

FAMILY PRACTICE

1 MED CENTER DR 012M

CLARKSBURG, WV 26301

(304) 623-3461

PCP

1822005 KEESEE, SEAN T

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

PCP

1822003 KESNER, NATHANIEL J

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

PCP

0595009 KHAN, ALI A

INTERNAL MEDICINE

200 RT 98 WEST STE 107

NUTTER FORT, WV 26301

(304) 623-5711

PCP

1863005 LAUDERMAN, THOMAS A

FAMILY PRACTICE

429 SMITHFIELD ST

ANMOORE, WV 26323

PCP

1985001 MANCHIN, JOHN

FAMILY PRACTICE

409 E MAIN ST

BRIDGEPORT, WV 26330

(304) 848-8800

PCP

0539045 MENEZ MD, MARIA

INTERNAL MEDICINE

1 MED CENTER DR # 012M

CLARKSBURG, WV 26301

(304) 623-3461

PCP

0539095 MICHELS, DONALD

INTERNAL MEDICINE

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

0796001 MILLER, SUSAN W

INTERNAL MEDICINE

140 W MAIN ST

BRIDGEPORT, WV 26330

(304) 842-5464

PCP

1056042 MOORE, KRISTEN N

INTERNAL MEDICINE

710 GENESIS BLVD

BRIDGEPORT, WV 26330

(304) 623-6330

PCP

1822001 MORGAN, EVAN

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

(304) 623-6330

PCP

0539092 MOXLEY, CLYDE

FAMILY PRACTICE

1 MED CENTER DR

CLARKSBURG, WV 26301

(304) 623-3461

PCP

1868001 NOON, SAIMA N

FAMILY PRACTICE

527 MEDICAL PARK DR STE 103

BRIDGEPORT, WV 26330

PCP

1822006 RAMANATHA, VIGNESHWARAN

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

PCP

- 47 -

Page 50: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

HARRISON COUNTY1822004 SEIB, SABRINA A

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

PCP

1056040 SKIDMORE, KAREN L

INTERNAL MEDICINE

710 GENESIS BLVD

BRIDGEPORT, WV 26330

(304) 626-3770

PCP

1056041 SKIDMORE, KAREN L

INTERNAL MEDICINE

700 OAKMOUND RD

CLARKSBURG, WV 26301

(304) 626-3770

PCP

1864001 SPENCER, RICHARD

FAMILY PRACTICE

3 HOSPITAL PLZ

CLARKSBURG, WV 26301

(304) 969-3100

PCP

1056039 STANLEY, JONATHAN

INTERNAL MEDICINE

527 MEDICAL PARK DR STE 301

BRIDGEPORT, WV 26330

(304) 623-6330

PCP

JACKSON COUNTY1423001 BECHTOLD, L J

FAMILY PRACTICE

705 WASHINGTON ST

RAVENSWOOD, WV 26164

(304) 868-6000

PCP

1423002 BLACKBURN, RICHARD J

GENERAL PRACTICE

705 WASHINGTON ST

RAVENSWOOD, WV 26164

(304) 868-6000

PCP

1987001 CASTO, WILLIAM J

FAMILY PRACTICE

945 CHARLESTON RD

RIPLEY, WV 25271

(304) 372-1444

PCP

0333017 CESTARIC, BRANDON A

FAMILY PRACTICE

512A SOUTH CHURCH ST

RIPLEY, WV 25271

(304) 372-1033

PCP

0333005 ESTRADA, CRISTINA

FAMILY PRACTICE

4 A SCHOOL ST

RIPLEY, WV 25271

(304) 372-7341

PCP

0333006 ESTRADA, CRISTINA

FAMILY PRACTICE

606 WASHINGTON ST

RAVENSWOOD, WV 26164

(304) 275-3301

PCP

0876001 GANDEE, DURWOOD F

FAMILY PRACTICE

1979 PROFESSIONAL CIR

RAVENSWOOD, WV 26164

(304) 273-5873

PCP

1586002 GREER, RONALD E

FAMILY PRACTICE

606 WASHINGTON ST

RAVENSWOOD, WV 26164

(304) 273-1033

PCP

- 48 -

Page 51: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

JACKSON COUNTY0333019 KAY, HEATHER

FAMILY NURSE PRACTITIONER

512A SOUTH CHURCH ST

RIPLEY, WV 25271

(304) 275-3301

PCP

2039001 LAROCHE, JANE L

FAMILY PRACTICE

512 A SOUTH CHURCH ST

RIPLEY, WV 25271

(304) 372-1033

PCP

0333021 LAROCHE, JANE L

INTERNAL MEDICINE

512A SOUTH CHURCH ST

RIPLEY, WV 25271

(304) 275-3301

PCP

1249001 MALIK, ARIF

INTERNAL MEDICINE

PO BOX 325

505 1/2 WASHINGTON ST

RAVENSWOOD, WV 26164

(304) 273-4479

PCP

0333022 METZGER, TIMOTHY

FAMILY PRACTICE

512A SOUTH CHURCH STREET

RIPLEY, WV 25271

(304) 275-3301

PCP

1550001 PRASAD, VIJAY

PEDIATRICS

158 PINNELL ST

RIPLEY, WV 25271

(304) 372-6170

PCP

1254001 SWANN, CRAIG S

FAMILY PRACTICE

122 PINNELL ST

RIPLEY, WV 25271

(786) 522-7842

PCP

1663001 TOLER, BILLIE D

INTERNAL MEDICINE

619 MAIN ST W

RIPLEY, WV 25271

(304) 372-8088

PCP

1797001 CESTARIC, BRANDON

FAMILY PRACTICE

174 PINNELL ST STE A

RR 1 BOX 62A

RIPLEY, WV 25271

(304) 373-0280

PCP

0560018 ESHENAUR, STEVEN

FAMILY PRACTICE

122 PINNELL ST

RIPLEY, WV 25271

(304) 372-2731

PCP

0974003 GAAL, JAMES G

INTERNAL MEDICINE

158 PINNELL ST

RIPLEY, WV 25271

(304) 372-4402

PCP

0560017 MOSBERG, STEPHEN

FAMILY PRACTICE

122 PINNELL ST

RIPLEY, WV 25271

(304) 372-2731

PCP

1400003 SNYDER, IRVIN J

INTERNAL MEDICINE

174 PINNELL ST STE A

RIPLEY, WV 25271

(304) 372-7012

PCP

0333016 WILLIAMSON, LARRY D

FAMILY PRACTICE

512A SOUTH CHURCH STREET

RIPLEY, WV 25271

(304) 275-3301

PCP

JEFFERSON COUNTY

- 49 -

Page 52: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

JEFFERSON COUNTY2096001 BMC JEFFERSON MEDICINE & PEDIA

MULTISPECIALTY GROUP

207 E 5TH AVE

RANSON, WV 25438

(304) 725-6777

Accepting New Patients: Yes

CCP

2120001 HARPERS FERRY FAMILY MEDICINE

MULTISPECIALTY GROUP

171 TAYLOR ST

HARPERS FERRY, WV 25425

(304) 535-6343

Accepting New Patients: Yes

CCP

2121001 WOMENS HEATLH & FAMILY MEDICIN

MULTISPECIALTY GROUP

203 E 4TH AVE

RANSON, WV 25438

(304) 725-6343

Accepting New Patients: Yes

CCP

1561001 BONFILI, MARILYN J

FAMILY PRACTICE

PO BOX 69

121 W 3RD AVE

RANSON, WV 25438

(304) 724-7200

PCP

0154001 DAYAL, VIKRAM

INTERNAL MEDICINE

207 E 5TH AVE

RANSON, WV 25438

(304) 725-6777

PCP

0519001 JONES, ROBERT E

INTERNAL MEDICINE

207 E 5TH AVE

RANSON, WV 25438

(304) 728-5051

PCP

0555001 LANGLET, JULES F

GENERAL PRACTICE

206 W LIBERTY ST

CHARLES TOWN, WV 25414

(304) 725-7713

PCP

0954001 MILLER, WILLIAM S

FAMILY PRACTICE

201 S PRESTON STREET

STE A

RANSON, WV 25438

(304) 725-6514

PCP

0376001 SHAKESPHERE, ALFRET N

INTERNAL MEDICINE

710 SOMERSET BLVD STE 100

CHARLES TOWN, WV 25414

(304) 264-8570

PCP

0941001 KELLOGG, JEFFREY D

FAMILY PRACTICE

PO BOX 1880

SHEPHERDSTOWN, WV 25443

(304) 876-9321

PCP

1394006 OSMAN, SAFA

INTERNAL MEDICINE

121 W 3RD AVE

RANSON, WV 25438

(304) 724-7200

PCP

2074001 OSMAN, SAFA

INTERNAL MEDICINE

116 E 3RD AVE

RANSON, WV 25438

(540) 536-4416

PCP

1394007 PEAKE, SHARON

INTERNAL MEDICINE

PO BOX 69

RANSON, WV 25438

(304) 724-7200

PCP

KANAWHA COUNTY

- 50 -

Page 53: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1620001 CLENDENIN HEALTH CENTER

MULTISPECIALTY GROUP

107 KOONTZ AVE STE 200

CLENDENIN, WV 25045

(304) 548-7272

Accepting New Patients: Yes

CCP

2029001 FAMILYCARE-CHILDRENS MEDICINE

MULTISPECIALTY GROUP

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 414-1880

Accepting New Patients: Yes

CCP

2195001 WOMANCARE FAMILYCARE HLT CT

MULTISPECIALTY GROUP

501 STOCKTON ST

CHARLESTON, WV 25387

Accepting New Patients: Yes

CCP

2085001 WOMANCRE DBA FAMILYCARE HLT CT

MULTISPECIALTY GROUP

301 WASHINGTON AVE

DUNBAR, WV 25064

(304) 766-3323

Accepting New Patients: Yes

CCP

1618001 CABIN CREEK HEALTH CENTER

MULTISPECIALTY GROUP

5722 CABIN CREEK RD

DAWES, WV 25054

(304) 595-5006

CCP

1726001 FAMILYCARE-MARY C SNOW WEST

MULTISPECIALTY GROUP

100 FLORIDA ST

CHARLESTON, WV 25302

(304) 414-4015

CCP

1667001 FAMILYCARE-PATRICK ST

MULTISPECIALTY GROUP

116 HILLS PLZ

CHARLESTON, WV 25387

(304) 720-4466

Accepting New Patients: Yes

CCP

1668001 FAMILYCARE-ST ALBANS

MULTISPECIALTY GROUP

12 KANAWHA TER

SAINT ALBANS, WV 25177

(304) 201-1130

Accepting New Patients: Yes

CCP

1629001 INDIAN HEALTH CENTER

MULTISPECIALTY GROUP

6100 SISSONVILLE DR

CHARLESTON, WV 25312

(304) 984-1361

Accepting New Patients: Yes

CCP

1744001 KANAWHA CITY HEALTH CENTER

MULTISPECIALTY GROUP

4602 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 205-7535

Accepting New Patients: Yes

CCP

1630001 PIONEER HEALTH CENTER

MULTISPECIALTY GROUP

1ST & BRANNON ST

EAST BANK MIDDLE SCHOOL

EAST BANK, WV 25067

(304) 595-5068

Accepting New Patients: Yes

CCP

1619001 RIVERSIDE HEALTH CENTER

MULTISPECIALTY GROUP

1 WARRIOR WAY STE 103

BELLE, WV 25015

(304) 949-3591

CCP

1621001 SISSONVILLE HEALTH CENTER

MULTISPECIALTY GROUP

6135 SISSONVILLE DR

CHARLESTON, WV 25312

(304) 984-1576

CCP

1687001 UPPER KANAWHA MEDICAL CENTER

MULTISPECIALTY GROUP

408 ALEXANDER ST

CEDAR GROVE, WV 25039

(304) 595-1770

CCP

- 51 -

Page 54: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256050 JARRELL, GREGORY

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 293-5033

PCP

0366001 ABAYON-CASTRO, LADISLAWA C

PEDIATRICS

200 KANAWHA TER STE 101

SAINT ALBANS, WV 25177

(304) 722-6079

PCP

1404001 ABOUSHAAR, YUSR

UNKNOWN SPECIALTY

5314 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 949-4600

PCP

1256175 ADHIKARI, SHUBASH

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256232 ADHIKARI, SHUBASH

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-5590

PCP

1256233 ADHIKARI, SHUBASH

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256234 ADHIKARI, SHUBASH

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 388-5590

PCP

1256174 AGHA, MOHAMMAD S

PEDIATRICS

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 285-7100

PCP

0589121 AHMED, NAZIA

INTERNAL MEDICINE

4111 1ST AVE

NITRO, WV 25143

(304) 388-7530

PCP

1991003 AKINPELU, AFOLABI

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 962-3303

PCP

1828079 ALSALEH, ANAS

INTERNAL MEDICINE

333 LAIDLEY ST

CHARLESTON, WV 25301

(304) 414-4800

PCP

1255010 AMAN, TAMRA F

FAMILY PRACTICE

3701 MACCCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-2345

PCP

1256231 AMAN, TAMRA F

FAMILY PRACTICE

3100 MACCORKLE AVE STE 205

CHARLESTON, WV 25304

(304) 285-7100

PCP

0589132 ANDREWS, KARINNA

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

- 52 -

Page 55: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256086 ARTZ, STEVEN A

INTERNAL MEDICINE

WVUPC-MEDICINE & SPECIALTY OFF

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

1256230 ASHLEY, JEFFERY V

FAMILY PRACTICE

3819 CHESTERFIELD AVE

CHARLESTON, WV 25304

(304) 388-7100

PCP

1256228 ASHLEY, JEFFREY

FAMILY PRACTICE

1000 ASSOCIATION DR

CHARLESTON, WV 25311

(304) 388-7100

PCP

1256229 ASHLEY, JEFFREY V

FAMILY PRACTICE

2149 GREENBRIER ST

CHARLESTON, WV 25311

(304) 388-7100

PCP

1169001 ATASSI, M S

INTERNAL MEDICINE

2700 E DUPONT AVE

BELLE, WV 25015

(304) 949-6962

PCP

0657001 AYOUBI, MOUTASSEM B

PEDIATRICS

310 35TH ST SE STE 21

CHARLESTON, WV 25304

(304) 925-6970

PCP

0657003 AYOUBI, SUSAN R

PEDIATRICS

310 35TH ST SE STE 21

CHARLESTON, WV 25304

(304) 925-6970

PCP

0589140 BACHA, GHALI

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

0112001 BACHA, GHALI I

INTERNAL MEDICINE

11950 MACCORKLE AVE STE B

CHARLESTON, WV 25315

(304) 949-6010

PCP

0127004 BAILEY, JUSTIN

INTERNAL MEDICINE

300 KENTON DR STE 100

CHARLESTON, WV 25311

(304) 346-5533

PCP

1828018 BASTIN, CRYSTAL

FAMILY PRACTICE

4820 KENTUCKY ST

S CHARLESTON, WV 25309

(304) 720-0390

PCP

1100001 BATES, JEFFREY K

INTERNAL MEDICINE

707 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 768-8500

PCP

1090003 BERRY, DUANE D

FAMILY PRACTICE

5220 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 720-3735

PCP

0589124 BLEDSOE, MICHAEL

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

- 53 -

Page 56: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1255003 BOWDEN, ROY T

INTERNAL MEDICINE

3701 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-2345

PCP

1100015 BRADFORD, JOSHUA H

FAMILY PRACTICE

707 CHESTNUT ST

CHARLESTON, WV 25309

(304) 768-8500

PCP

0589138 BRAHAM, JEFFREY

FAMILY PRACTICE

415 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7530

PCP

0125001 BROWN, ELIZABETH

INTERNAL MEDICINE

4607 MACCORKLE AVE SW STE 200

S CHARLESTON, WV 25309

(304) 414-2140

PCP

1828024 BURDETTE, MICHELLE

FAMILY PRACTICE

1097 FLEDDERJOHN RD

CHARLESTON, WV 25314

(304) 345-3627

PCP

1255008 CALLOWAY, KATHERINE T

FAMILY PRACTICE

3701 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-2345

PCP

1256224 CAMPBELL, JAMES R

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(307) 388-7100

PCP

1256225 CAMPBELL, JAMES R

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7100

PCP

1256227 CAMPBELL, JOHN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-7100

PCP

1894002 CAMPBELL, RACHEL

FAMILY NURSE PRACTITIONER

924 CROSS LANES DR

CROSS LANES, WV 25313

(304) 776-9872

PCP

1828023 CAPITO, RICHARD

INTERNAL MEDICINE

1097 FLEDDERJOHN RD

CHARLESTON, WV 25314

(304) 414-4800

PCP

1790001 CASTO, AMY D

FAMILY PRACTICE

612 5TH ST

SAINT ALBANS, WV 25177

PCP

1101099 CHANCEY, MICHAEL H

PEDIATRICS

4602 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-1711

PCP

0784001 CHANEY, MALCOLM L

FAMILY PRACTICE

1201 WASHINGTON ST E STE 201

CHARLESTON, WV 25301

(304) 342-8513

PCP

- 54 -

Page 57: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1828004 CHAPMAN, WILLIAM J

INTERNAL MEDICINE

828 OAKWOOD RD

CHARLESTON, WV 25314

(678) 390-7301

PCP

0423001 CHILDERS, CLARK E

PEDIATRICS

4607 MACCORKLE AVE SW STE 204

S CHARLESTON, WV 25309

(304) 767-7930

PCP

1256173 CHILLAG, SHAWN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 285-7100

PCP

1256221 CHILLAG, SHAWN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 285-7100

PCP

1256222 CHILLAG, SHAWN

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 285-7100

PCP

1256223 CHILLAG, SHAWN A

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 388-7100

PCP

0589134 COLE, BILLY

INTERNAL MEDICINE

1201 WASHINGTON ST E

CHARLESTON, WV 25301

(304) 388-7530

PCP

0612035 COPLEY, MARY

FAMILY PRACTICE

1563 SAND PLANT RD

CHARLESTON, WV 25309

(304) 756-1500

PCP

1960009 COSTA MORON, ADALGIZA E

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(844) 340-2554

PCP

1100014 CRINITI, DINA M

INTERNAL MEDICINE

707 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 768-8500

PCP

1256215 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7100

PCP

1256216 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7100

PCP

1256217 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

800 PENNYSLVAINIA AVE

CHARLESTON, WV 25302

(304) 388-7100

PCP

1256218 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

1000 ASSOCIATION DR

CHARLESTON, WV 25311

(304) 388-7100

PCP

- 55 -

Page 58: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256219 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

2149 GREENBRIER ST

CHARLESTON, WV 25311

(304) 388-7100

PCP

1256220 CUSICK LEWIS, JOSHUA M

FAMILY PRACTICE

3819 CHESTERFIELD AVE

CHARLESTON, WV 25304

(304) 388-7100

PCP

1649001 DARNELL, ROBIN

PEDIATRICS

4407 MACCORKLE AVE SE FL 2

CHARLESTON, WV 25304

(800) 555-1212

PCP

0014003 DARNELL, ROBIN F

PEDIATRICS

4502 MACCORKLE AVE SE STE B

CHARLESTON, WV 25304

(304) 925-0392

PCP

1218008 DETEMPLE, JULIE

FAMILY PRACTICE

509 2ND AVE

S CHARLESTON, WV 25303

(304) 744-0995

PCP

1828007 DEWITT, MICHAEL S

FAMILY PRACTICE

506 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828008 DEWITT DO, MICHAEL S

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828009 DEWITT DO, MICHAEL S

FAMILY PRACTICE

301 WASHINGTON AAVE ST 004

DUNBAR, WV 25064

(304) 414-4800

PCP

1828044 DEWITT DO, MICHAEL S

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828070 DEWITT DO, MICHAEL S

FAMILY PRACTICE

333 LAIDLEY STREET

CHARLESTON, WV 25301

(681) 313-4824

PCP

1256139 DHAKAL, BISHNU P

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

1256210 DIHOWM, HANAN

INTERNAL MEDICINE

3100 MACCORKLE AVE STE 205

CHARLESTON, WV 25304

(304) 293-4749

PCP

1256211 DIHOWM, HANAN

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 293-4749

PCP

1256212 DIHOWM, HANAN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 293-4749

PCP

- 56 -

Page 59: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256213 DIHOWM, HANAN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-7100

PCP

1256214 DIHOWM, HANAN

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 388-7100

PCP

1166001 DIVITA, PENNY S

PEDIATRICS

830 PENNSYLVANIA AVE STE 200

CHARLESTON, WV 25302

(304) 343-1863

PCP

1403005 DRAVENSTOTT, KARA

FAMILY NURSE PRACTITIONER

505 SUMMERS ST

CHARLESTON, WV 25301

(304) 400-4907

PCP

1960008 DUKES, SETH

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(844) 323-5865

PCP

0127005 DUMM, KELLI H

INTERNAL MEDICINE

300 KENTON DR STE 100

CHARLESTON, WV 25311

(304) 346-5833

PCP

0127001 EGGLESTON, ROBERT

INTERNAL MEDICINE

300 KENTON DR STE 100

CHARLESTON, WV 25311

(719) 277-7545

PCP

1649002 EVANS, CORTNEY

PEDIATRICS

4407 MACCORKLE AVE SE FL 2

CHARLESTON, WV 25304

(304) 925-1555

PCP

0965012 EVANS, COURTNEY

PEDIATRICS

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(972) 437-5099

PCP

0589135 FAMULARCANO, LEA G

FAMILY PRACTICE

4111 1ST AVE

NITRO, WV 25143

(304) 388-7530

PCP

0858001 FOSTER, BRUCE A

GENERAL PRACTICE

400 DIVISION ST STE 2

S CHARLESTON, WV 25309

(304) 768-3823

PCP

1166002 FRAIL, CAROL L

PEDIATRICS

830 PENNSYLVANIA AVE STE 200

CHARLESTON, WV 25302

(304) 343-1863

PCP

1828066 FRANCO, MANUEL P

FAMILY PRACTICE

1097 FLEDDERJOHN RD

CHARLESTON, WV 25314

(304) 345-3627

PCP

1894003 FRANKLIN, TAMMY L

FAMILY NURSE PRACTITIONER

924 CROSS LANES DR

CROSS LANES, WV 25313

(304) 776-9872

PCP

- 57 -

Page 60: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1145002 GAMPONIA, MELISSA

FAMILY PRACTICE

1218 VIRGINIA ST E STE A

CHARLESTON, WV 25301

(304) 345-8500

PCP

0318003 GAYED, AHMED K

INTERNAL MEDICINE

333 LAIDLEY ST FL 3

CHARLESTON, WV 25301

(800) 210-7034

PCP

1828011 GIBSON, LEO B

FAMILY PRACTICE

506 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 766-4800

PCP

1828027 GIBSON, LEO B

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

1828013 GIBSON DO, LEO B

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 414-4800

PCP

1828012 GIBSON JR DO, LEO B

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828026 GIBSON JR DO, LEO B

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 414-4800

PCP

1954002 GOLDBERG, TODD

INTERNAL MEDICINE

3819 CHESTERFIELD AVE

CHARLESTON, WV 25304

(337) 991-9276

PCP

1256138 GOLDBERG, TODD H

GERIATRICS

3200 MACCORKLE AVE SSE 4TH FL

CHARLESTON, WV 25314

(304) 388-5590

PCP

1186002 GOLIATH, GILBERT

PEDIATRICS

4607 MACCORKLE AVE SE

S CHARLESTON, WV 25309

(304) 766-3988

PCP

1186003 GOLIATH, GILBERT

PEDIATRICS

4607 MACCORKLE AVE SW STE 400

S CHARLESTON, WV 25309

(304) 766-3988

PCP

0069001 GRAHAM, ANTHONY

FAMILY PRACTICE

509 4TH AVE

SAINT ALBANS, WV 25177

(304) 727-6270

PCP

1256038 GRIFFITH, JAMES P

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256098 GRIFFITH, JAMES P

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

- 58 -

Page 61: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256137 GRIFFITH, JAMES P

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-1000

PCP

1256208 GRIFFITH, JAMES P

INTERNAL MEDICINE

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 388-7530

PCP

1256209 GRIFFITH, JAMES P

INTERNAL MEDICINE

3100 MACCORKLE AVE SE STE 205

CHARLESTON, WV 25304

(304) 341-1500

PCP

0629001 HABASH, AFIF S

PEDIATRICS

4920 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 925-1115

PCP

0589116 HAFEZ, MARIA

INTERNAL MEDICINE

3415 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5848

PCP

0844001 HAIKAL, ELIAS G

FAMILY PRACTICE

4114 1ST AVE

NITRO, WV 25143

(304) 755-0119

PCP

1994001 HARPER, LAURIE W

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

SO CHARLESTON, WV 25309

(844) 323-5865

PCP

1994004 HAYES, JAIME T

FAMILY PRACTICE

4605 MACCORKLE AVE SW

CHARLESTON, WV 25309

(844) 323-5865

PCP

1828001 HAYES, JAMIE T

FAMILY PRACTICE

401 DIVISION ST STE 205

S CHARLESTON, WV 25309

(800) 282-4548

PCP

1828062 HAYES MD, JAIME T

FAMILY PRACTICE

331 LAIDLEY ST

CHARLESTON, WV 25301

(304) 306-3058

PCP

1828063 HAYES MD, JAIME T

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828065 HAYES MD, JAIME T

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 414-4800

PCP

1828071 HAYES MD, JAIME T

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828073 HAYES MD, JAIME T

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(304) 306-3058

PCP

- 59 -

Page 62: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0589128 HELMICK, KRISTEN

INTERNAL MEDICINE

1201 WASHINGTON ST E

CHARLESTON, WV 25301

(304) 388-7530

PCP

1256205 HELMICK, KRISTEN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 720-7305

PCP

1256206 HELMICK, KRISTEN

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 720-7305

PCP

1256207 HELMICK, KRISTEN

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 720-7305

PCP

1256204 HELMICK, KRISTEN P

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 285-7100

PCP

1256136 HELMICK, KRISTEN P

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

0589143 HENRY, BRADLEY

INTERNAL MEDICINE

1201 WASHINGTON ST E

CHARLESTON, WV 25301

(304) 388-7530

PCP

1298001 HENRY, BRADLEY D

INTERNAL MEDICINE

600 MORRIS ST STE 102

CHARLESTON, WV 25301

(304) 388-7130

PCP

0589131 HENSLEY, ELIZABETH K

FAMILY PRACTICE

415 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7530

PCP

0589112 HILL, HOLLY A

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-1711

PCP

1100005 HIVELY, JEFFREY W

FAMILY PRACTICE

707 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 768-8811

PCP

0591024 HOLMES, JEFFREY S

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 768-8811

PCP

0657002 HOYLMAN, VERA L

PEDIATRICS

310 35TH ST SE STE 21

CHARLESTON, WV 25304

(304) 925-6970

PCP

0112006 IBRAHIM-BACHA, GHALI

INTERNAL MEDICINE

310 35TH ST SE

CHARLESTON, WV 25304

(304) 720-9595

PCP

- 60 -

Page 63: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256162 JARRELL, GREGORY

FAMILY PRACTICE

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 293-5033

PCP

1256048 JARRELL, GREGORY M

FAMILY PRACTICE

1000 ASSOCIATION DR

CHARLESTON, WV 25311

(304) 768-3941

PCP

1256203 JARRELL, GREGORY M

FAMILY PRACTICE

2149 GREENBRIER ST

CHARLESTON, WV 25311

(304) 344-4268

PCP

1256172 JARRELL, MARCUS F

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-9677

PCP

1256198 JARRELL, MARCUS F

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-9677

PCP

1256199 JARRELL, MARCUS F

FAMILY PRACTICE

800 PENNYSLVANIA AVE

CHARLSTON, WV 25302

(304) 388-9677

PCP

1256200 JARRELL, MARCUS F

FAMILY PRACTICE

11000 ASSOCIATION DR

CHARLESTON, WV 25301

(304) 388-9677

PCP

1256201 JARRELL, MARCUS F

FAMILY PRACTICE

2149 GREENBRIER ST

CHARLESTON, WV 25311

(304) 388-9677

PCP

1256202 JARRELL, MARCUS F

FAMILY PRACTICE

3819 CHESTERFIELD AVE

CHARLESTON, WV 25304

(304) 388-9677

PCP

0744001 JAYARAM, GEETA

PEDIATRICS

4403 44TH ST SE

CHARLESTON, WV 25304

(304) 925-4726

PCP

1828067 JEFFREY, WILLIAM

INTERNAL MEDICINE

500 DONNALLY ST STE 203

CHARLESTON, WV 25301

(304) 347-6841

PCP

1364028 JEFFREY, WILLIAM R

INTERNAL MEDICINE

500 DONNALLY ST

SUITE 203

CHARLESTON, WV 25301

(304) 347-6700

PCP

1256197 JOHN, MOLLY

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 293-7401

PCP

1256053 JOHN, MOLLY

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

- 61 -

Page 64: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256106 JOHN, MOLLY

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

0784003 JOHNSTON, ROBERT B

FAMILY PRACTICE

1201 WASHINGTON ST E

CHARLESTON, WV 25301

(304) 342-8513

PCP

0589125 JONES, ERIC

PEDIATRICS

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 388-7530

PCP

0108001 JONES, ERIC C

PEDIATRICS

4607 MACCORKLE AVE SW STE 400

S CHARLESTON, WV 25309

(304) 766-4400

PCP

0108015 JONES, ERIC C

PEDIATRICS

830 PENNSYLVANIA AVE STE 11

CHARLESTON, WV 25302

(304) 982-7031

PCP

0108004 JONES, SHARMILA

PEDIATRICS

4607 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 982-7031

PCP

1848006 KALOU, MOHAMAD S

FAMILY PRACTICE

4114 1ST AVE

NITRO, WV 25143

(304) 767-7840

PCP

0108007 KAPOURALES, SUSANNA A

PEDIATRICS

4607 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 982-7031

PCP

0784004 KELLY, JOHN B

FAMILY PRACTICE

1201 WASHINGTON ST E

CHARLESTON, WV 25301

(304) 342-8513

PCP

0589139 KENNEDY, CHRIS

FAMILY PRACTICE

3100 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

2020001 KEVAK, RUDOLPH

INTERNAL MEDICINE

PO BOX 552

SAINT ALBANS, WV 25177

(304) 201-3600

PCP

2020002 KEVAK, RUDOLPH M

INTERNAL MEDICINE

201 6TH AVE

SAINT ALBANS, WV 25177

(304) 201-3600

PCP

1256108 KHAN, RAHEEL R

PEDIATRICS

830 PENNSYLVANIA AVE STE 103

CHARLESTON, WV 25302

(304) 388-1552

PCP

1298002 KINDER, JACK L

INTERNAL MEDICINE

600 MORRIS ST STE 102

CHARLESTON, WV 25301

(304) 388-7131

PCP

- 62 -

Page 65: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0589142 KING, BRIGITTE

INTERNAL MEDICINE

60 R H L BLVD

S CHARLESTON, WV 25309

(304) 388-7530

PCP

1994002 KRISHNATHAS, ANANTHAN

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

CHARLESTON, WV 25309

(844) 323-5865

PCP

1828049 KURYLA, PAUL

INTERNAL MEDICINE

333 LAIDLEY ST

CHARLESTON, WV 25301

(304) 313-4824

PCP

1828051 KURYLA, PAUL

INTERNAL MEDICINE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 759-6050

PCP

1828052 KURYLA, PAUL

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828053 KURYLA, PAUL

INTERNAL MEDICINE

400 DIVISION ST

S CHARLESTON, WV 25309

(304) 414-4800

PCP

0591003 KURYLA, PAUL T

FAMILY PRACTICE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

1828050 KURYLA MD, PAUL

INTERNAL MEDICINE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828058 LABU, LESTER

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 414-4800

PCP

1828060 LABU, LESTER

FAMILY PRACTICE

500 POPLAR ST STE 304

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828061 LABU, LESTER

FAMILY PRACTICE

4800 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828056 LABUS, LESTER

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(304) 347-6700

PCP

1828057 LABUS, LESTER

FAMILY PRACTICE

4605 MACCORKLE AVE SW

CHARLESTON, WV 25309

(304) 347-6700

PCP

1828059 LABUS, LESTER

FAMILY PRACTICE

500 DONNALLY ST STE 203

CHARLESTON, WV 25301

(304) 414-4800

PCP

- 63 -

Page 66: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1828047 LABUS MD, LESTER

INTERNAL MEDICINE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828002 LADD, JENNIFER

FAMILY PRACTICE

500 DONNALLY ST STE 203

CHARLESTON, WV 25301

(304) 347-6700

PCP

1991002 LAFFERTY, HOWARD W

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 225-0953

PCP

0589117 LEWIS, JESSICA D

FAMILY NURSE PRACTITIONER

2930 CHESTERFIELD AVE

CHARLESTON, WV 25304

(304) 343-9923

PCP

0591004 LILLY, JONATHAN P

FAMILY PRACTICE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(719) 277-7545

PCP

0971001 LIM, MELY C

FAMILY PRACTICE

8 COURTNEY DR

CHARLESTON, WV 25304

(304) 926-0940

PCP

0589118 MAJUMDAR, SUJOYEETA

INTERNAL MEDICINE

3200 MACCORKLE AVE SE STE B-16

CHARLESTON, WV 25304

(304) 388-5848

PCP

1256062 MARTIN, SHELDA A

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256109 MARTIN, SHELDA A

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

1166003 MATUSIC, JOSEPH H

PEDIATRICS

830 PENNSYLVANIA AVE STE 200

CHARLESTON, WV 25302

(304) 343-1863

PCP

1256195 MAURER, MARY A

FAMILY PRACTICE

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 293-5033

PCP

1256196 MAURER, MARY A

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 293-5033

PCP

0108005 MCCALLISTER, JULIE

PEDIATRICS

4607 MACCORKLE AVE SW STE 400

S CHARLESTON, WV 25309

(304) 982-7031

PCP

0960001 MCCLUNG, REGINALD J

FAMILY PRACTICE

331 LAIDLEY ST STE 205

CHARLESTON, WV 25301

(304) 553-0200

PCP

- 64 -

Page 67: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256134 MCJUNKIN, BRITTAIN

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 285-7100

PCP

1256191 MCJUNKIN, BRITTAIN

FAMILY PRACTICE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 293-5033

PCP

1256064 MEARS, JAMES M

FAMILY PRACTICE

1201 WASHINGTON ST E STE 108

CHARLESTON, WV 25301

(304) 347-4600

PCP

1100010 MILLER, KAREN K

FAMILY PRACTICE

707 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 768-8500

PCP

0589130 MOORE, DONALD

FAMILY PRACTICE

415 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7530

PCP

1828068 MOORE, DONALD H

FAMILY PRACTICE

1097 FLEDDERJOHN RD

CHARLESTON, WV 25314

(304) 414-4800

PCP

1828054 MOORE, IVA E

FAMILY PRACTICE

221 4TH AVE

SAINT ALBANS, WV 25177

(304) 414-4800

PCP

1828055 MOORE, IVA E

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 414-4875

PCP

0903002 MORELAND, GREGORY M

FAMILY PRACTICE

2206 22ND ST

NITRO, WV 25143

(304) 755-1571

PCP

0589133 MORRISON, RYAN

INTERNAL MEDICINE

3100 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

0589111 NAHLA, ADNAN

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-1711

PCP

1256130 NAZHA, HANI

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256131 NAZHA, HANI

PSYCHIATRY

3200 MACCORKLE AVE SE FL 5

CHARLESTON, WV 25304

(304) 293-5033

PCP

1256132 NAZHA, HANI

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

- 65 -

Page 68: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256189 NAZHA, HANI

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-7305

PCP

1256190 NAZHA, HANI

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 285-7100

PCP

1256194 NAZHA, HANI

INTERNAL MEDICINE

3100 MACCORKLE AVE SE STE 205

CHARLESTON, WV 25304

(304) 285-7100

PCP

1828046 PARIKSHAK, NARENDRA

INTERNAL MEDICINE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828072 PARIKSHAK, NARENDRA

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828045 PARIKSHAK, NARENDRA D

INTERNAL MEDICINE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

1828048 PARIKSHAK, NARENDRA D

INTERNAL MEDICINE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(719) 277-7545

PCP

1163001 PARIKSHAK, NARENDRA D

INTERNAL MEDICINE

117 GOFF MOUNTAIN RD

CROSS LANES, WV 25313

(304) 776-2072

PCP

1905001 PARSONS, DEBRA L

PEDIATRICS

314 GOFF MOUNTAIN RD

CHARLESTON, WV 25313

(800) 282-4548

PCP

0396001 PATEL, AJAY T

INTERNAL MEDICINE

450 2ND ST

SAINT ALBANS, WV 25177

(304) 727-0016

PCP

1766001 PATEL, ROHIT

FAMILY PRACTICE

129 7TH AVENUE

S CHARLESTON, WV 25303

(304) 776-9393

PCP

1256129 PFISTER, ALFRED

INTERNAL MEDICINE

3200 MACCORKLE AVE SE 4TH FL

CHARLESTON, WV 25304

(304) 293-5033

PCP

1256114 PFISTER, ALFRED K

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

1410001 POZEGA, MARY C

PEDIATRICS

5324 MACCORKLE AVE SE STE C

CHARLESTON, WV 25304

(304) 925-7001

PCP

- 66 -

Page 69: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256133 RAGHAVENDRA, MULINTI

GERIATRICS

3200 MACCORKLE AVE SE 4TH FL

CHARLESTON, WV 25304

(304) 388-5590

PCP

0589120 RAMOS-FAMULARCANO, LEA G

FAMILY PRACTICE

4111 1ST AVE STE 3

NITRO, WV 25143

(304) 755-4797

PCP

0871001 REDDY, UMA P

PEDIATRICS

888 OAKWOOD RD STE 110

CHARLESTON, WV 25314

(304) 342-8142

PCP

1765001 REYNOLDS, DIANA P

PEDIATRICS

400 COURT ST STE 300

CHARLESTON, WV 25301

(304) 342-8142

PCP

0950001 RICHARDS, JOHN P

FAMILY PRACTICE

4914 ELK RIVER RD STE A

ELKVIEW, WV 25071

(304) 965-7051

PCP

0950002 RICHARDS, JOHN P

FAMILY PRACTICE

4902A ELK RIVER RD

ELKVIEW, WV 25071

(304) 965-7051

PCP

1828019 RICHARDS, MARK

FAMILY PRACTICE

500 DONNALLY ST

CHARLESTON, WV 25301

(304) 347-6700

PCP

1649003 ROBINSON, CHRISTY

PEDIATRICS

4407 MACCORKLE AVE SE FL 2

CHARLESTON, WV 25304

(304) 925-0392

PCP

2063001 ROBINSON, CHRISTY

PEDIATRICS

1538 KANAWHA BLVD E

CHARLESTON, WV 25311

(304) 357-5966

PCP

1991006 ROMAINE, ROBERT H

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 962-3303

PCP

1256176 ROSE, BRANDON K

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256186 ROSE, BRANDON K

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256187 ROSE, BRANDON K

INTERNAL MEDICINE

800 PENNYSLVANIA AVE

CHARLESTON, WV 25302

(304) 388-5432

PCP

1256188 ROSE, BRANDON K

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-5432

PCP

- 67 -

Page 70: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0833001 SALUTILLO, VICTOR

FAMILY PRACTICE

5392 BIG TYLER RD

CHARLESTON, WV 25313

(304) 776-6640

PCP

1169006 SCARLATESCU, SORIN

INTERNAL MEDICINE

2700 E DUPONT AVE

BELLE, WV 25015

(304) 949-6962

PCP

0589126 SHAALAN, M

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7530

PCP

1894001 SHETH, ASHISH P

INTERNAL MEDICINE

924 CROSS LANES DR

CROSS LANES, WV 25313

(304) 776-9872

PCP

1256183 SINGH, ATUL

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

PCP

1256184 SINGH, ATUL

INTERNAL MEDICINE

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 720-7305

PCP

1256185 SINGH, ATUL

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7530

PCP

1256118 SINGH, ATUL

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7305

PCP

1256128 SINGH, ATUL

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

0127007 SITLER, TERESA M

INTERNAL MEDICINE

300 KENTON DR

CHARLESTON, WV 25311

(304) 346-5533

PCP

1130002 SKAFF, SAM A

PEDIATRICS

4501 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 925-9225

PCP

1100013 SKAGGS, CHRISTOPHER

INTERNAL MEDICINE

707 CHESTNUT ST

S CHARLESTON, WV 25309

(304) 768-8500

PCP

1100011 SKAGGS, CHRISTOPHER C

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 768-8500

PCP

1991001 SMITH, CHADWICK R

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 225-0953

PCP

- 68 -

Page 71: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1255014 SMITH, JADE E

FAMILY NURSE PRACTITIONER

3701 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-2345

PCP

0108002 STICKLER, ALATHEIA F

PEDIATRICS

4607 MACCORKLE AVE SW STE 400

S CHARLESTON, WV 25309

(304) 766-4400

PCP

0589136 STOLLINGS, RONNY

INTERNAL MEDICINE

415 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7530

PCP

1126002 STONESTREET, GREGORY C

FAMILY PRACTICE

5508 BIG TYLER ROAD

CROSSLANES, WV 25313

(304) 776-2409

PCP

1126001 STONESTREET, GREGORY C

FAMILY PRACTICE

5506 BIG TYLER RD

CROSS LANES, WV 25313

(304) 776-2409

PCP

2080004 STORM, JEAN

INTERNAL MEDICINE

1000 LINCOLN DR

CHARLESTON, WV 25309

(866) 282-7905

PCP

1256181 TANNER, ANDY

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 293-5033

PCP

1256182 TANNER, ANDY

FAMILY PRACTICE

800 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 293-5033

PCP

1991004 TARAKJI, HOSSAM

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 225-0953

PCP

1828074 TAYLOR, PAULA F

INTERNAL MEDICINE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

1828075 TAYLOR, PAULA F

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

CHARLESTON, WV 25309

(304) 306-3053

PCP

1828076 TAYLOR, PAULA F

INTERNAL MEDICINE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 759-6050

PCP

1828077 TAYLOR, PAULA F

INTERNAL MEDICINE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

0423003 TAYLOR, REBECCA L

PEDIATRICS

4607 MACCORKLE AVE SW STE 204

S CHARLESTON, WV 25309

(304) 767-7930

PCP

- 69 -

Page 72: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1828032 THOMPSON, ERIKA L

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828033 THOMPSON, ERIKA L

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 759-6050

PCP

1828034 THOMPSON, ERIKA L

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 306-3053

PCP

1828035 THOMPSON, ERIKA L

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

0589115 TIGAS, KATHERINE R

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-1711

PCP

0589122 TIGAS, KATHERINE R

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-1711

PCP

1256178 TOPARIS, ANTHONY

FAMILY PRACTICE

3819 CHESTERFIELD AVE

CHARLESTON, WV 25304

(304) 285-7100

PCP

1256179 TOPARIS, ANTHONY

FAMILY PRACTICE

2149 GREENBRIER ST

CHARLESTON, WV 25311

(304) 285-7100

PCP

1256180 TOPARIS, ANTHONY

FAMILY PRACTICE

1000 ASSOCIATION DR

CHARLESTON, WV 25311

(304) 285-7100

PCP

1403001 TRIPLETT, PHILLIP R

INTERNAL MEDICINE

505 SUMMERS STREET

CHARLESTON, WV 25301

(304) 767-7890

PCP

1828028 UPTON, MATTHEW

INTERNAL MEDICINE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

1828029 UPTON, MATTHEW

INTERNAL MEDICINE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828030 UPTON, MATTHEW

INTERNAL MEDICINE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 759-6050

PCP

1828031 UPTON, MATTHEW

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

PCP

- 70 -

Page 73: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0591007 UPTON, MATTHEW B

INTERNAL MEDICINE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

1166006 UPTON, SUE A

PEDIATRICS

830 PENNSYLVANIA AVE STE 200

CHARLESTON, WV 25302

(304) 343-1863

PCP

0342001 VERMA, HAPPY

PEDIATRICS

5386 BIG TYLER RD

CROSS LANES, WV 25313

(304) 776-7690

PCP

0675001 VERMA, PURUSHOTTAM L

PEDIATRICS

830 PENNSYLVANIA AVE STE 201

CHARLESTON, WV 25302

(304) 345-1644

PCP

0518002 VIDAL, MELVIN T

INTERNAL MEDICINE

1313 QUARRIER ST

CHARLESTON, WV 25301

(304) 720-2060

PCP

1163003 VIRADIA, ARVIND Z

INTERNAL MEDICINE

117 GOFF MOUNTAIN RD

CROSS LANES, WV 25313

(304) 776-2072

PCP

1145004 WESTFALL, SUE

FAMILY PRACTICE

1218 VIRGINIA ST E STE A

CHARLESTON, WV 25301

(304) 345-8500

PCP

1828036 WHITE, JONATHAN

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(681) 313-4824

PCP

1828037 WHITE, JONATHAN

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828038 WHITE, JONATHAN

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(304) 759-6050

PCP

1828039 WHITE, JONATHAN

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

0108006 WHITE, KARA M

PEDIATRICS

501 MORRIS ST

CHARLESTON, WV 25301

(304) 766-4400

PCP

1828017 WHITMAN, ANGELA

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(719) 277-7545

PCP

1828041 WHITMAN, ANGELA

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(719) 277-7545

PCP

- 71 -

Page 74: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1828042 WHITMAN, ANGELA

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 767-7770

PCP

1828069 WHITMAN, ANGELA

FAMILY PRACTICE

331 LAIDLEY STREET STE 602

CHARLESTON, WV 25301

(304) 414-4850

PCP

1828014 WHITMAN DO, ANGELA

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 306-3058

PCP

1828010 WILEY, NICOLE

FAMILY PRACTICE

301 WASHINGTON AVE STE 004

DUNBAR, WV 25064

(719) 277-7545

PCP

1828020 WILEY, NICOLE

FAMILY PRACTICE

6A BANK ST

NITRO, WV 25143

(304) 767-7770

PCP

1828022 WILEY, NICOLE

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 414-4800

PCP

1828025 WILEY, NICOLE

FAMILY PRACTICE

401 DIVISION ST STE 205

S CHARLESTON, WV 25309

(800) 282-4548

PCP

1828021 WILEY, NICOLE M

FAMILY PRACTICE

333 LAIDLEY ST

CHARLESTON, WV 25301

(304) 306-3053

PCP

0108003 WINNINGS, MELANIE A

PEDIATRICS

4607 MACCORKLE AVE SW STE 400

S CHARLESTON, WV 25309

(304) 766-4400

PCP

0108008 WINNINGS, MELANIE A

PEDIATRICS

830 PENNSYLVANIA AVE STE 110

CHARLESTON, WV 25302

(304) 982-7031

PCP

0108014 WINNINGS, MELANIE A

PEDIATRICS

1313 DUNBAR AVE

DUNBAR, WV 25064

(304) 982-7031

PCP

1256127 WIRTS, AMY L

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1256192 WIRTS, AMY L

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-5590

PCP

0127008 YOUNG, ELIZABETH J

PEDIATRICS

300 KENTON DR STE 100

CHARLESTON, WV 25311

PCP

- 72 -

Page 75: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1256125 YOUNG, NICHOALS R

INTERNAL MEDICINE

4522 MACCORKLE AVE SE STE 3

CHARLESTON, WV 25304

(304) 720-7310

PCP

1256126 YOUNG, NICHOLAS R

INTERNAL MEDICINE

3200 MACCORKLE AVE SE FL 4

CHARLESTON, WV 25304

(304) 388-5590

PCP

1888001 DEFAULT PCP PROVIDER

FAMILY PRACTICE

602 VIRGINIA ST E

CHARLESTON, WV 25301

PCP

1848001 ABDUL-JALIL, MAJESTER

INTERNAL MEDICINE

500 POPLAR ST STE 204

S CHARLESTON, WV 25309

(304) 767-7841

PCP

0612027 ADKINS, DLNNETH C

FAMILY PRACTICE

1563 SAND PLANT RD

CHARLESTON, WV 25309

(304) 824-5806

PCP

1256163 ANDREWS, KARINNA H

FAMILY PRACTICE

830 PENNSYLVANIA AVE

CHARLESTON, WV 25302

(304) 293-5033

PCP

0589103 ARVANITIS, CHERYL

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 388-7010

PCP

0589104 ASHLEY, JEFFREY

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-1799

PCP

1879001 ASHRAF, SYED S

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

CHARLESTON, WV 25309

(304) 722-5668

PCP

1879002 ASHRAF, SYED S

INTERNAL MEDICINE

221 4TH AVE

SAINT ALBANS, WV 25177

PCP

1101095 BISWAS, RONBIR M

INTERNAL MEDICINE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 347-1220

PCP

0940003 BOGGESS, DARRELL K

FAMILY PRACTICE

1097 FLEDDERJOHN RD

CHARLESTON, WV 25314

(304) 345-3627

PCP

0589106 BORS, KATHLEEN

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 988-0020

PCP

0591018 BOWMAN, CHRISTOPHER E

INTERNAL MEDICINE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

- 73 -

Page 76: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0332036 BREINIG, ADAM J

FAMILY PRACTICE

313 MACCORKLE AVE SW

S CHARLESTON, WV 25303

(304) 744-2300

PCP

1101085 BROWN, JAMES

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 526-1111

PCP

1101086 BROWN, JAMES W

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

1758040 CARROLL, SAMUEL

FAMILY PRACTICE

104 ALEX LN

CHARLESTON, WV 25304

(615) 867-6000

PCP

1878001 CAVENDER MD, SUSAN

UNKNOWN SPECIALTY

1115 LEE ST E

CHARLESTON, WV 25301

(304) 357-4510

PCP

0589105 CUSICK-LEWIS, JOSHUA M

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5432

PCP

1218007 DETEMPLE, JULIE

FAMILY PRACTICE

538 3RD AVE

S CHARLESTON, WV 25303

(304) 744-0995

PCP

1256157 DHAKAL, BISHNU P

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 293-5033

PCP

1211003 DOUGLAS, MARK L

INTERNAL MEDICINE

5098 WASHINGTON ST W STE 408

CROSS LANES, WV 25313

(304) 776-5594

PCP

1101011 DOWNHAM, LISA

GENERAL PRACTICE

PO BOX 647

CHARLESTON, WV 25323

(304) 746-1307

PCP

1255013 DURDEN, WITT A

INTERNAL MEDICINE

3701 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 720-2345

PCP

1758033 DUTHIE, JAMES

INTERNAL MEDICINE

104 ALEX LN

CHARLESTON, WV 25304

PCP

1856001 ELWOOD, NANCY S

FAMILY PRACTICE

4315 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

1843001 EWING, KIMBERLY

GENERAL PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(440) 717-6600

PCP

- 74 -

Page 77: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0818001 FARRIS, JOSEPH

GENERAL PRACTICE

2114 PRESIDENTIAL DR

CHARLESTON, WV 25314

(304) 346-7701

PCP

1079008 FRAME, JOHN O

FAMILY PRACTICE

312 6TH AVE STE 3

S CHARLESTON, WV 25303

(304) 744-4532

PCP

1101087 FRAZER, JASON

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7782

PCP

0146001 GUHA, SOMES

FAMILY PRACTICE

5314 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 925-1779

PCP

1784002 GUPTA, SEEMA

UNKNOWN SPECIALTY

104 ALEX LN

CHARLESTON, WV 25304

(304) 926-6001

PCP

1327004 GUPTA MD, RAHUL

INTERNAL MEDICINE

108 LEE ST E

PO BOX 927

CHARLESTON, WV 25301

(304) 348-8080

PCP

1885001 HARRIS, WILLIAM L

FAMILY PRACTICE

3100 MACCORKLE AVE SE STE 307

CHARLESTON, WV 25304

(304) 344-2451

PCP

1079002 HAYES, RICHARD D

FAMILY PRACTICE

312 6TH AVE STE 3

S CHARLESTON, WV 25303

(304) 744-4532

PCP

1101081 HENDRICKS, BRADLEY

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5848

PCP

1218002 HENSLEY, ELIZABETH K

FAMILY PRACTICE

538 3RD AVE

S CHARLESTON, WV 25303

(304) 744-0995

PCP

1218006 HENSLEY, ELIZABETH K

FAMILY PRACTICE

509 2ND AVE

S CHARLESTON, WV 25303

(304) 744-0995

PCP

0591002 HOLMES, JEFFREY

INTERNAL MEDICINE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

0146004 JAGANNOTH, THOPSIE

INTERNAL MEDICINE

5314 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 925-1779

PCP

1256171 JOHN, MOLLY

INTERNAL MEDICINE

3100 MACCORKLE AVE STE 205

CHARLESTON, WV 25304

(304) 285-7100

PCP

- 75 -

Page 78: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1848004 KALOU, MOHAMAD S

FAMILY PRACTICE

5240 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 767-7840

PCP

1848005 KALOU, SAMAH

FAMILY PRACTICE

500 POPLAR STREET

STE 204

SO CHARLESTON, WV 25309

(304) 345-3737

PCP

1101084 KASEM, HODA

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

1101094 KHAN, NOMA

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-5848

PCP

0637001 LAKHANI, VINODRAI B

PEDIATRICS

4840 KENTUCKY ST

S CHARLESTON, WV 25309

(304) 768-7384

PCP

0370001 LEWIS, SANDRA J

FAMILY PRACTICE

4004 MACCORKLE AVE SE STE A1

CHARLESTON, WV 25304

(304) 926-0172

PCP

1829002 LILLY, JOHN P

INTERNAL MEDICINE

1000 LINCOLN DR

CHARLESTON, WV 25309

(800) 934-0404

PCP

0591023 LILLY JR, JON P

FAMILY PRACTICE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

0753001 LINGER, ROBERT T

FAMILY PRACTICE

4715B MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 343-9588

PCP

1758044 MAHMOOD, TASLIMA

INTERNAL MEDICINE

104 ALEX LN

CHARLESTON, WV 25304

(615) 867-6000

PCP

0717001 MARAIKAYER, AHMAD M

FAMILY PRACTICE

6515C MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 925-1108

PCP

0898001 MARTIN, DALLAS B

FAMILY PRACTICE

1111 ELEDDER JOHN RD BOX 103

CHARLESTON, WV 25314

PCP

1256164 MAURER, MARY A

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 293-5033

PCP

0535056 MISAGHI, FAREDOON K

GENERAL PRACTICE

104 ALEX LN

CHARLESTON, WV 25304

PCP

- 76 -

Page 79: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1101097 MONINGI, VENKATA

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

1866001 MORRISON, RYAN G

INTERNAL MEDICINE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(304) 766-8558

PCP

1101090 NAMAY, KEVAN A

INTERNAL MEDICINE

PO BOX 647

CHARLESTON, WV 25323

PCP

1758037 NIKFAR, NAHID

INTERNAL MEDICINE

104 ALEX LN

CHARLESTON, WV 25304

(615) 867-6000

PCP

1858001 PARIKSHAK, NARENDRA D

INTERNAL MEDICINE

1418 MACCORKLE AVE SW STE A

CHARLESTON, WV 25303

(304) 388-5848

PCP

0896001 PARTOVI, MAHMOOD

FAMILY PRACTICE

PO BOX 11000

DUNBAR, WV 25064

(304) 768-1392

PCP

1101091 PATEL, KEYUR A

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-1711

PCP

0151004 PATEL, LEELA K

FAMILY PRACTICE

401 DIVISION ST STE 306

CHARLESTON, WV 25309

(304) 766-2063

PCP

1101089 PEARSON, KENNETH

FAMILY PRACTICE

PO BOX 647

CHARLESTON, WV 25323

(304) 388-5848

PCP

1101088 PETERSEN, JUDY J

FAMILY PRACTICE

PO BOX 647

CHARLESTON, WV 25323

PCP

1828003 RICHARDS, MARK

FAMILY PRACTICE

401 DIVISION ST STE 205

CHARLESTON, WV 25309

(304) 347-6700

PCP

1816001 ROBIE, E M

FAMILY PRACTICE

4111 1ST AVE STE 3

PO BOX 157

NITRO, WV 25143

(304) 755-4797

PCP

1101092 RONEN, LEON

FAMILY PRACTICE

4602 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

1787001 SAKKAL, AMAL F

INTERNAL MEDICINE

331 LAIDLEY ST

CHARLESTON, WV 25301

(304) 346-1410

PCP

- 77 -

Page 80: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY1101096 SHAMS, SEYED

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

0535075 SINGH, AKHILESH K

GENERAL PRACTICE

104 ALEX LN

CHARLESTON, WV 25304

PCP

1101047 SMITH, DANIEL L

FAMILY PRACTICE

310 35TH ST SE

CHARLESTON, WV 25304

(304) 925-4777

PCP

1101093 SMITH, NELSON L

INTERNAL MEDICINE

3200 MACCORKLE AVE SE STE 4TH

CHARLESTON, WV 25304

(304) 388-5590

PCP

0123001 SPURLOCK, KIMBERLY

INTERNAL MEDICINE

3418 STAUNTON AVE SE

CHARLESTON, WV 25304

(304) 720-3600

PCP

1101052 STEPHENS, MARK

INTERNAL MEDICINE

130 GOFF MOUNTAIN RD

CROSS LANES, WV 25313

PCP

1866002 STEWART, SAMUEL

FAMILY PRACTICE

4605 MACCORKLE AVE SW

S CHARLESTON, WV 25309

(800) 562-2945

PCP

1829001 STORM, JEAN M

INTERNAL MEDICINE

1000 ASSOCIATION DR

CHARLESTON, WV 25311

(480) 991-4502

PCP

0589107 SWAIN, RANDALL

FAMILY PRACTICE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

(304) 388-7783

PCP

1101083 SWEET, ELIZABETH S

FAMILY PRACTICE

PO BOX 647

CHARLESTON, WV 25323

(304) 388-5848

PCP

0589102 TANNER, ANDY

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 347-4600

PCP

0589101 TICKLE, AMY

FAMILY PRACTICE

501 MORRIS ST

CHARLESTON, WV 25301

(304) 293-7401

PCP

1300002 TOPARIS, ROBERT L

FAMILY PRACTICE

167 11TH AVE

S CHARLESTON, WV 25303

(304) 792-1663

PCP

1403004 TRIPLETT, REGINALD

INTERNAL MEDICINE

505 SUMMERS ST

CHARLESTON, WV 25301

(307) 767-7890

PCP

- 78 -

Page 81: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

KANAWHA COUNTY0591021 TRUMP, JEFFREY S

FAMILY PRACTICE

1100 GROSSCUP AVE

DUNBAR, WV 25064

(304) 768-8811

PCP

1101082 WILSON, CHRISOTPHER J

INTERNAL MEDICINE

3200 MACCORKLE AVE SE

CHARLESTON, WV 25304

PCP

LEWIS COUNTY2158001 COMMUNITY CARE OF WESTON II

MULTISPECIALTY GROUP

107 STAUNTON DR

WESTON, WV 26452

(304) 269-2022

Accepting New Patients: Yes

CCP

1986001 JANE LEW ELEMENTARY SCHOOL WEL

SCHOOL BASED HEALTH CENTER

6536 MAIN ST

JANE LEW, WV 26378

(304) 884-2307

Accepting New Patients: Yes

CCP

2069001 LEADING CREEK ELEMENTARY SCHOO

SCHOOL BASED HEALTH CENTER

15300 US HIGHWAY 33 W

LINN, WV 26384

(304) 924-6262

Accepting New Patients: Yes

CCP

1969001 PETERSON-CENTRAL ELEMENTARY

SC

SCHOOL BASED HEALTH CENTER

509 BERLIN RD

WESTON, WV 26452

(304) 269-0029

Accepting New Patients: Yes

CCP

1970001 ROANOKE ELEMENTARY SCHOOL

WELL

SCHOOL BASED HEALTH CENTER

1176 OIL CREEK RD

ROANOKE, WV 26447

(304) 452-0001

Accepting New Patients: Yes

CCP

1968001 ROBERT BLAND MIDDLE SCHOOL WEL

SCHOOL BASED HEALTH CENTER

358 COURT AVE

WESTON, WV 26452

(304) 269-0041

Accepting New Patients: Yes

CCP

1778001 COMMUNITY CARE OF WESTON

MULTISPECIALTY GROUP

149 STAUNTON DR

WESTON, WV 26452

(304) 269-2022

Accepting New Patients: Yes

CCP

2114001 UPC FAMILY MED CLN OF JANE LEW

MULTISPECIALTY GROUP

134 INDUSTRIAL PARK RD

JANE LEW, WV 26378

(304) 884-7880

CCP

0957001 BORCHERT, CHRISTOPHER

PEDIATRICS

29 HOSPITAL PLZ STE F

WESTON, WV 26452

(304) 269-1071

PCP

0553027 GREGORY, MICHAEL

FAMILY PRACTICE

533 HACKERS CREEK RD

JANE LEW, WV 26378

(304) 884-8941

PCP

0553053 HESS, MICHAEL R

FAMILY PRACTICE

533 HACKENS CREEK RD

JANE LEW, WV 26378

(304) 884-8941

PCP

- 79 -

Page 82: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LEWIS COUNTY0553028 HORNSBY, BRIAN J

INTERNAL MEDICINE

230 HOSPITAL PLZ

WESTON, WV 26452

(304) 473-0670

PCP

0553012 MAHMOUD, KHALID

INTERNAL MEDICINE

66 HOSPITAL PLZA

SUITE 104

WESTON, WV 26452

(304) 269-4252

PCP

0553051 MCMILLION, VIRGIL W

FAMILY PRACTICE

533 HACKERS CREEK RD

JANE LEW, WV 26378

(304) 269-8000

PCP

1213006 MILLS, ANGELA M

FAMILY PRACTICE

134 INDUSTRIAL PARK RD

JANE LEW, WV 26378

(304) 884-7880

PCP

0553016 ORVIK, B

FAMILY PRACTICE

230 HOSPITAL PLZ

WESTON, WV 26452

(304) 269-8050

PCP

1983002 ORVIK, BENNETT

FAMILY PRACTICE

25 GARTON PLZ

WESTON, WV 26452

(304) 269-6620

PCP

0685002 ORVIK MD, BENNETT D

FAMILY PRACTICE

25 GARTON PLZ

WESTON, WV 26452

(304) 289-6620

PCP

1983001 PAULEY PERSINGER, DANA N

FAMILY PRACTICE

25 GARTON PLAZA

WESTON, WV 26452

(304) 517-1115

PCP

0354001 SABBAGH, ABDULMALE

INTERNAL MEDICINE

29 HOSPITAL PLZ STE E

WESTON, WV 26452

(304) 269-1448

PCP

1578001 SCATTAREGIA, FRANK A

INTERNAL MEDICINE

786 1 2 W 2ND ST

WESTON, WV 26452

(304) 269-3890

PCP

1270001 SIVAKUMARAN, MUTHUMANIMOLI

PEDIATRICS

29 HOSPITAL PLZ STE A

WESTON, WV 26452

(304) 269-0868

PCP

1270002 SIVAKUMARAN, MUTHUMANIMOLI

PEDIATRICS

RR 4 BOX 9A

WESTON, WV 26452

(304) 624-8090

PCP

0553052 SNUFFER, ROBERT P

FAMILY PRACTICE

402 MEDICAL PARK DR

WESTON, WV 26452

(508) 836-3663

PCP

1213003 SWISHER, FRANK D

FAMILY PRACTICE

PO BOX 880

66 INDUSTRIAL PARK RD

JANE LEW, WV 26378

(304) 884-7880

PCP

- 80 -

Page 83: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LEWIS COUNTY0553026 WATSON, DAVID A

FAMILY PRACTICE

533 HACKERS CREEK RD

JANE LEW, WV 26378

(304) 884-8941

PCP

0553054 WEIR, ROBERT

INTERNAL MEDICINE

230 HOSPITAL PLZ

WESTON, WV 26452

(304) 269-8000

PCP

1213004 WENTZ, JULIE M

GENERAL PRACTICE

PO BOX 880

JANE LEW, WV 26378

PCP

0553047 ESTOLANO, MARIO G

INTERNAL MEDICINE

230 HOSPITAL PLZ

WESTON, WV 26452

PCP

0553050 HALL, TYLER

FAMILY PRACTICE

230 HOSPITAL PLZ

WESTON, WV 26452

(681) 342-3600

PCP

0553045 KANE, ELIZABETH

FAMILY PRACTICE

230 HOSPITAL PLZ

WESTON, WV 26452

PCP

0553046 KANE, ELIZABETH

FAMILY PRACTICE

533 HACKERS CREEK RD

JANE LEW, WV 26378

PCP

0553044 KENNEDY, CHRIS

FAMILY PRACTICE

533 HACKERS CREEK RD

JANE LEW, WV 26378

(304) 884-8941

PCP

0354005 SABBAGH, MOHAMED A

FAMILY PRACTICE

29 HOSPITAL PLZ STE E

WESTON, WV 26452

(304) 269-1448

PCP

1831001 WILLIAMS, JEREMY

FAMILY PRACTICE

1 GARTON PLZ

WESTON, WV 26452

(304) 517-1301

PCP

LINCOLN COUNTY

2189001 VALLEY HEALTH SYSTEMS

MULTISPECIALTY GROUP

4 STATE ROUTE 10

HARTS, WV 25524

Accepting New Patients: Yes

CCP

1685001 HARTS HEALTH CENTER

MULTISPECIALTY GROUP

22 FLEMING DR

HARTS, WV 25524

(304) 855-4595

CCP

1759001 VALLEY HEALTH HARTS ELEMENTARY

MULTISPECIALTY GROUP

1246 MCCLELLAN HWY

HARTS, WV 25524

(304) 310-1246

CCP

- 81 -

Page 84: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LINCOLN COUNTY0565002 BOEWN, JON R

FAMILY PRACTICE

8008 COURT AVE

HAMLIN, WV 25523

(304) 824-3330

PCP

0565001 BROCK, ROBIN

PEDIATRICS

PO BOX 527

HAMLIN, WV 25523

(304) 824-3330

PCP

0612036 COPLEY, MARY

FAMILY PRACTICE

5322 MCCLELLAN HWY

BRANCHLAND, WV 25506

(304) 824-5707

PCP

0612040 COPLEY, MARY

FAMILY PRACTICE

5304 STRAIGHT FRK

GRIFFITHSVILLE, WV 25521

(304) 524-9242

PCP

0612041 COPLEY, MARY

FAMILY PRACTICE

81 LINCOLN PANTHER WAY

HAMLIN, WV 25523

(304) 824-6094

PCP

0565003 CUNNINGS, LAURA

FAMILY PRACTICE

8008 COURT AVE

HAMLIN, WV 25523

(304) 824-3330

PCP

0612003 ELKINS, GREGORY A

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

0612032 GIBBS, MICHAEL W

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 691-1643

PCP

0612007 MCKAY, GEORGE L

INTERNAL MEDICINE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

1013002 SMITH, SCOTT F

FAMILY PRACTICE

2150 CHILDRESS RD

ALUM CREEK, WV 25003

(304) 756-9001

PCP

0612010 WALKER, ROBERT B

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

0612025 ADKINS, KENNETH C

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

0612029 LAHNOVYCH, VICTOR

FAMILY PRACTICE

5322 MCCLELLAN HWY

BRANCHLAND, WV 25506

(304) 824-5707

PCP

0612031 LAHNOVYCH, VICTOR

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

- 82 -

Page 85: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LINCOLN COUNTY0612023 ROLLINS, JAMES

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5806

PCP

0612028 SOLTIS, LUCIA I

FAMILY PRACTICE

7400 LYNN AVE

HAMLIN, WV 25523

(304) 824-5860

PCP

0612022 VANCE DO, CHARLES

FAMILY PRACTICE

5322 MCCLELLAN HWY

BRANCHLAND, WV 25506

(304) 824-5806

PCP

LOGAN COUNTY0824001 AGAS, ULYSSES D

FAMILY PRACTICE

557 MAIN ST

PO BOX 210

LOGAN, WV 25601

(304) 752-3435

PCP

0576002 BELLAM, RADHAKRISHMAMUR M

FAMILY PRACTICE

600 E MCDONALD AVE

MAN, WV 25635

(304) 583-6541

PCP

1899001 BOWEN, JON R

FAMILY PRACTICE

386 AIRPORT RD

CHAPMANVILLE, WV 25508

(304) 855-1200

PCP

0576003 CABAUATAN, LIVIA

GENERAL PRACTICE

600 E MCDONALD AVE

MAN, WV 25635

PCP

1360001 CABE, ELLEN M

PEDIATRICS

RR 2 BOX 22

CHAPMANVILLE, WV 25508

(304) 855-5083

PCP

0612037 COPLEY, MARY

FAMILY PRACTICE

200 VANCE STREET

CHAPMANVILLE, WV 25508

(304) 855-0245

PCP

0612042 COPLEY, MARY

FAMILY PRACTICE

1 WILDCAT WAY

LOGAN, WV 25601

(304) 688-9949

PCP

0612043 COPLEY, MARY

FAMILY PRACTICE

122 NICK SAVAS DR

LOGAN, WV 25601

(304) 752-8081

PCP

0612044 COPLEY, MARY

FAMILY PRACTICE

650 E MCDONALD AVE

MAN, WV 25635

(304) 583-8585

PCP

0868002 FLAIM, ANTHONY

FAMILY PRACTICE

114 MAIN ST

MAN, WV 25635

(304) 732-6735

PCP

- 83 -

Page 86: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LOGAN COUNTY0514004 GORDINHO, JOSE J

INTERNAL MEDICINE

101 MAIN ST

MAN, WV 25635

(304) 583-2464

PCP

1076002 HARVEY, KATHY D

INTERNAL MEDICINE

140 STOLLINGS AVE STE 2

LOGAN, WV 25601

(304) 752-8449

PCP

1422001 HERALD, CARLTON W

INTERNAL MEDICINE

77 HOSPITAL DR

LOGAN, WV 25601

(304) 831-2063

PCP

0150001 KANURI, KARUNASREE

FAMILY PRACTICE

1115 2ND AVE 10

LOGAN, WV 25601

(304) 831-0085

PCP

1615001 KUKKILLAYA, RADHAKRISHNA U

INTERNAL MEDICINE

38 HOSPITAL DR

LOGAN, WV 25601

(304) 792-6282

PCP

1101098 LAFFERTY, HOWARD

FAMILY PRACTICE

50 VERES DR

CHAPMANVILLE, WV 25508

(304) 388-7530

PCP

0033012 MANUEL, ERNESTO C

FAMILY PRACTICE

PO BOX 656

LOGAN, WV 25601

(304) 831-1700

PCP

0868004 MUSCARI, MICHAEL

FAMILY PRACTICE

114 MAIN ST

MAN, WV 25635

(304) 664-5699

PCP

0868013 MUSCARI, SAMUEL A

FAMILY PRACTICE

114 MAIN ST

MAN, WV 25635

(304) 664-5699

PCP

1606003 NNACHI, OKPANI

PEDIATRICS

354 AIRPORT RD STE 100

CHAPMANVILLE, WV 25508

(304) 831-0074

PCP

0144001 NNACHI, OKPANI M

PEDIATRICS

20 HOSPITAL DR

LOGAN, WV 25601

(304) 837-0073

PCP

1606001 NNACHI, OKPANI M

PEDIATRICS

300 PROSPERITY LANE

LOGAN, WV 25601

(304) 831-0073

PCP

1606002 PACIS, FLORA

PEDIATRICS

354 AIRPORT RD STE 100

CHAPMANVILLE, WV 25508

(304) 831-0074

PCP

0658001 PACIS, FLORA F

PEDIATRICS

265 MAIN ST STR B

CHAPMANVILLE, WV 25508

(304) 855-4544

PCP

- 84 -

Page 87: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LOGAN COUNTY0033013 PEREZ, ROBERT

INTERNAL MEDICINE

20 HOSPITAL DRIVE

LOGAN, WV 25601

(615) 920-7213

PCP

0576010 RALLOS, ENRICO V

FAMILY PRACTICE

600 E MCDONALD AVE

MAN, WV 25635

(304) 664-3223

PCP

1615002 RAO, SATHISCHANDRA N

INTERNAL MEDICINE

38 HOSPITAL DR

LOGAN, WV 25601

(304) 792-6282

PCP

0775001 ROJAS, SAMUEL

PEDIATRICS

289 HANGING ROCK HWY

LOGAN, WV 25601

(304) 752-4926

PCP

0033035 SAYRE, AMY

FAMILY PRACTICE

555 MAIN ST

CHAPMAN, WV 25508

PCP

1899002 STEELE, KATHERINE J

FAMILY PRACTICE

386 AIRPORT RD

CHAPMANVILLE, WV 25508

(304) 855-1200

PCP

0576015 TORDILLA MD, PLARIDEL P

PEDIATRICS

600 E MCDONALD AVE

MAN, WV 25635

PCP

0880001 TUANQUIN, NARCISO B

INTERNAL MEDICINE

112 BRIDGE ST

LOGAN, WV 25601

(304) 752-1905

PCP

0576016 VIGO PAREDES, TOMAS E

FAMILY PRACTICE

600 E MCDONALD AVE

MAN, WV 25635

(304) 583-7435

PCP

0576018 WALTERS, RANDALL

FAMILY PRACTICE

600 E MCDONALD AVE

MAN, WV 25635

PCP

0612026 ADKINS, KENNETH C

FAMILY PRACTICE

650 E MCDONALD AVE

MAN, WV 25635

(304) 824-5806

PCP

1059029 BERRY, PHILLIP

FAMILY PRACTICE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 388-2525

PCP

1821005 BOPPANA, PRASADA R

INTERNAL MEDICINE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 239-2356

PCP

1859001 DILLON, NICOLE L

FAMILY PRACTICE

77 HOSPITAL DR

DOCTORS PARK SUITE D

LOGAN, WV 25601

(304) 452-5300

PCP

- 85 -

Page 88: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

LOGAN COUNTY0033031 HARMAN, DEREK

FAMILY PRACTICE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 831-1966

PCP

0612030 LAHNOVYCH, VICTOR

FAMILY PRACTICE

200 VANCE ST

CHAPMANVILLE, WV 25508

(304) 824-5806

PCP

1838001 MILLER, JON M

GENERAL PRACTICE

140 STOLLINGS AVE STE 3

LOGAN, WV 25601

(304) 752-4594

PCP

0033034 MULLEN, WILLIAM

FAMILY PRACTICE

PO BOX 656

LOGAN, WV 25601

(304) 792-1600

PCP

0868033 MUSCARI, NICHOLAS

FAMILY PRACTICE

114 MAIN ST

MAN, WV 25635

(304) 436-6650

PCP

1821003 PUDOTA, KINGSLEY P

INTERNAL MEDICINE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 388-5590

PCP

1059033 SALETTA, STEPHEN

FAMILY PRACTICE

20 HOSPITAL DR

LOGAN, WV 25601

(800) 562-2945

PCP

0033033 SANGRAMPURKAR, RAUPALI

INTERNAL MEDICINE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 831-1923

PCP

0033030 SAYRE, AMY P

FAMILY PRACTICE

20 HOSPITAL DR

LOGAN, WV 25601

(304) 831-1966

PCP

1872001 SIEGEL, SCOTT

FAMILY PRACTICE

104 MAIN ST

LOGAN, WV 25601

(304) 752-9450

PCP

1300001 TOPARIS, ROBERT L

FAMILY PRACTICE

601 HOLDEN RD

HOLDEN, WV 25625

(304) 239-2147

PCP

MARION COUNTY2058001 MONONGAH ELEM SCH WELLNESS

CTR

SCHOOL BASED HEALTH CENTER

628 WALNUT ST

MONONGAH, WV 26554

(304) 367-2159

Accepting New Patients: Yes

CCP

2059001 MONONGAH MIDDLE SCH WELLNESS

C

SCHOOL BASED HEALTH CENTER

550 CAMDEN AVE

MONONGAH, WV 26554

(304) 367-2164

Accepting New Patients: Yes

CCP

- 86 -

Page 89: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARION COUNTY1731001 MVA FAIRMONT CLINIC

MULTISPECIALTY GROUP

1322 LOCUST AVE

FAIRMONT, WV 26554

(304) 367-8740

Accepting New Patients: Yes

CCP

2057001 MVA MANNINGTON

MULTISPECIALTY GROUP

118 MARKET ST

MANNINGTON, WV 26582

(304) 986-1750

Accepting New Patients: Yes

CCP

1733001 EAST FAIRMONT HS WELLNESS CTR

SCHOOL BASED HEALTH CENTER

1933 AIRPORT RD

FAIRMONT, WV 26554

(304) 367-0654

Accepting New Patients: Yes

CCP

1734001 NORTH MARION HS WELLNESS CTR

SCHOOL BASED HEALTH CENTER

1 NORTH MARION DR

FARMINGTON, WV 26571

(304) 986-2550

Accepting New Patients: Yes

CCP

2126001 FAIRMONT GATEWAY CENTER

MULTISPECIALTY GROUP

100 STONEY HILL RD

FAIRMONT, WV 26554

(304) 285-5400

Accepting New Patients: Yes

CCP

2141001 MARION MEDICAL ASSOCIATES

MULTISPECIALTY GROUP

1912 LOCUST AVE

FAIRMONT, WV 26554

(304) 363-3500

Accepting New Patients: Yes

CCP

2104001 UPC WHITEHALL MEDICAL

MULTISPECIALTY GROUP

177 MIDDLETOWN RD STE 1

FAIRMONT, WV 26554

(304) 363-6600

Accepting New Patients: Yes

CCP

1195001 ANG, PETER L

INTERNAL MEDICINE

5 ERWIN LN STE B

FAIRMONT, WV 26554

(304) 366-7611

PCP

0280034 BAILEY, JAMES

FAMILY PRACTICE

1325 LOCUST AVE STE 32

FAIRMONT, WV 26554

(304) 363-6210

PCP

2019002 BHARTI, SANJAY R

INTERNAL MEDICINE

1714 LOCUST AVE

FAIRMONT, WV 26554

(904) 346-3088

PCP

0280032 BONFILI, MARILYN J

FAMILY PRACTICE

1840 LOCUST AVE

FAIRMONT, WV 26554

(304) 368-2422

PCP

0966001 CHIDESTER, CANDACE C

FAMILY PRACTICE

1840 LOCUST AVE

FAIRMONT, WV 26554

(304) 366-6907

PCP

1316001 CHONG, CHARLES

GENERAL PRACTICE

401 GUFFEY ST

FAIRMONT, WV 26554

(304) 363-0222

PCP

0595001 CLARKE, KEVIN M

GENERAL PRACTICE

48 VIP WAY

FAIRMONT, WV 26554

(304) 623-5711

PCP

- 87 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARION COUNTY0661001 DEVABHAKTHUNI, BABU R

PEDIATRICS

312 10TH ST

FAIRMONT, WV 26554

(304) 366-2818

PCP

0280031 FLOWER, LISA M

FAMILY PRACTICE

1840 LOCUST AVE

FAIRMONT, WV 26554

(304) 368-2422

PCP

1979002 HALL, ALI

FAMILY PRACTICE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 333-8415

PCP

1979004 HALL, PERRY

FAMILY PRACTICE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 333-8415

PCP

0143001 HILSBOS, KENNETH

FAMILY PRACTICE

403 VIRGINIA AVE STE 202

FAIRMONT, WV 26554

(304) 366-7768

PCP

1598002 KAMAL, MALIHA A

INTERNAL MEDICINE

1322 LOCUST AVE

FAIRMONT, WV 26554

(304) 366-0700

PCP

1979003 KATRAGADDA, SUDHA

INTERNAL MEDICINE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 333-8415

PCP

0595015 KHAN, ALI A

INTERNAL MEDICINE

2048 V I P WAY

PLEASANT VALLEY, WV 26554

(304) 933-3800

PCP

1316002 LUKETICH MD, DALE

FAMILY PRACTICE

401 GUFFEY ST

FAIRMONT, WV 26554

PCP

0867001 MAGUNIA, SHIVJI L

INTERNAL MEDICINE

PO BOX 809

210 PIKE ST

BARRACKVILLE, WV 26559

(304) 366-8733

PCP

0890001 MANCHIN II, JOHN

FAMILY PRACTICE

PO BOX 29

100 MAIN STREET

FARMINGTON, WV 26571

(304) 825-6554

PCP

1637001 MANCHIN II, JOHN

FAMILY PRACTICE

181 MIDDLETOWN CIR

FAIRMONT, WV 26554

(304) 367-1970

PCP

1979001 MISENHELDER, JASON A

FAMILY PRACTICE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 333-8415

PCP

0877002 MORRIS, EDWIN J

FAMILY PRACTICE

118 MARKET ST

MANNINGTON, WV 26582

(304) 986-1750

PCP

- 88 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARION COUNTY0661004 MULPURU, SREE K

PEDIATRICS

312 10TH ST

FAIRMONT, WV 26554

(304) 366-2818

PCP

0573006 NAHLA, ADNAN

INTERNAL MEDICINE

PO BOX 1112

FAIRMONT, WV 26555

(304) 366-0700

PCP

0573007 PADRO, SILVINA

INTERNAL MEDICINE

PO BOX 1112

FAIRMONT, WV 26555

(304) 366-0700

PCP

0778001 PATEL, GOVINDBHAI M

INTERNAL MEDICINE

1844 LOCUST AVE

FAIRMONT, WV 26554

(304) 366-1538

PCP

0573008 PATEL, PRAVINCHANDRA I

INTERNAL MEDICINE

1322 LOCUST AVE

PO BOX 1112

FAIRMONT, WV 26555

(304) 366-0700

PCP

1598003 PETRIDOU, SEVASTIANI

FAMILY PRACTICE

1322 LOCUST AVE

FAIRMONT, WV 26554

(304) 366-0700

PCP

1961003 POLAVARAPU, PADMAJA P

INTERNAL MEDICINE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 413-2552

PCP

0573010 SCHROERING, MICHAEL S

FAMILY PRACTICE

1322 LOCUST AVE

FAIRMONT, WV 26554

(304) 366-0700

PCP

0661003 STEELE, THOMAS W

PEDIATRICS

312 10TH ST

FAIRMONT, WV 26554

(304) 366-2818

PCP

0280040 TUCKER, BRONYA K

FAMILY PRACTICE

1840 LOCUST AVE

FAIRMONT, WV 26554

(304) 368-2422

PCP

1242001 VASICEK, RICHARD E

FAMILY PRACTICE

177 MIDDLETOWN RD STE 1

WHITE HALL, WV 26554

(304) 344-0320

PCP

1567001 VASICEK, RICHARD E

FAMILY PRACTICE

60 ROXBURY RD

WHITE HALL, WV 26554

(304) 363-6600

PCP

1259003 WOLFE, DOUGLAS D

FAMILY PRACTICE

800 E MAIN ST

STE B

MANNINGTON, WV 26582

(800) 473-0565

PCP

0595014 ALCANTARA, FREDERICK M

FAMILY PRACTICE

2048 VIP WAY

PLEASANT VALLEY, WV 26554

(304) 933-3800

PCP

- 89 -

Page 92: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARION COUNTY1819001 BRENNAN, EDWARD P

FAMILY PRACTICE

118 MARKET ST

MANNINGTON, WV 26582

(304) 986-1750

PCP

1368002 HALL, PERRY

FAMILY PRACTICE

1836 LOCUST AVE STE 1

FAIRMONT, WV 26554

(800) 555-1212

PCP

0828001 KATRAGADDA, SUDHA R

INTERNAL MEDICINE

606 FAIRMONT AVE

FAIRMONT, WV 26554

(304) 363-1830

PCP

0076003 KUZBARI, SAMER

INTERNAL MEDICINE

70 MIDDLETOWN RD

WHITE HALL, WV 26554

(304) 333-5111

PCP

1427002 MENEZ, EUGENIO

INTERNAL MEDICINE

1714 LOCUST AVE

FAIRMONT, WV 26554

(304) 363-3714

PCP

0347010 MILLER, THOMAS

INTERNAL MEDICINE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 367-7100

PCP

0599001 MILLER, THOMAS S

INTERNAL MEDICINE

1912 LOCUST AVE

FAIRMONT, WV 26554

(304) 363-3500

PCP

1316005 NAMSUPAK, JAMES

GENERAL PRACTICE

401 GUFFEY ST

FAIRMONT, WV 26554

(304) 363-2500

PCP

1598005 PALIWAL, HIMANSHU

FAMILY PRACTICE

1322 LOCUST AVE

FAIRMONT, WV 26554

(304) 367-8745

PCP

1786007 PETRIDOU, SEVASTIANI

FAMILY PRACTICE

1325 LOCUST AVE

FAIRMONT, WV 26554

(304) 296-2395

PCP

1063023 SIMPSON, RICHARD

INTERNAL MEDICINE

1228 COUNTRY CLUB RD

PO BOX 2990

FAIRMONT, WV 26555

(304) 367-0321

PCP

1063022 SPENCER, RICHARD A

FAMILY PRACTICE

211 MARION SQ

FAIRMONT, WV 26554

(304) 367-0321

PCP

MARSHALL COUNTY2116001 UPC GLEN DALE PEDIATRICS

MULTISPECIALTY GROUP

407 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-1500

Accepting New Patients: Yes

CCP

- 90 -

Page 93: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARSHALL COUNTY0695007 BARKI, KELLY H

INTERNAL MEDICINE

RR 4 BOX 19

CAMERON, WV 26033

(304) 686-3376

PCP

0440001 HESS, DAVID H

INTERNAL MEDICINE

407 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-1500

PCP

0440002 HESS, MICHELLE L

PEDIATRICS

407 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-1500

PCP

0440007 HESS, MICHELLE L

PEDIATRICS

426 8TH ST STE 202

GLEN DALE, WV 26038

(330) 242-9039

PCP

1197001 KUREISHY, ZAVEEN A

INTERNAL MEDICINE

426 8TH ST

GLEN DALE, WV 26038

(304) 845-8444

PCP

0829003 MEHROTRA, SUNILA

PEDIATRICS

426 8TH ST STE 101

GLEN DALE, WV 26038

(304) 843-1081

PCP

0532025 SCHMITT, ANDREW

FAMILY PRACTICE

800 WHEELING AVE

GLEN DALE, WV 26038

(740) 859-3197

PCP

0763002 SCHMITT, THOMAS

INTERNAL MEDICINE

22 15TH ST

MCMECHEN, WV 26040

(304) 455-2222

PCP

1558001 VENTOSA, JOSE J

PEDIATRICS

400 THIRD ST

GLEN DALE, WV 26038

(304) 845-9466

PCP

1248002 WAYT, MICHAEL

FAMILY PRACTICE

1307 WHEELING AVE STE A

GLEN DALE, WV 26038

(304) 845-5700

PCP

1015001 WOOD, NORMAN E

FAMILY PRACTICE

703 5TH ST

MOUNDSVILLE, WV 26041

(304) 843-2102

PCP

0959007 WOOD, VICTOR A

FAMILY PRACTICE

4850 EOFF ST

BENWOOD, WV 26031

(304) 232-1656

PCP

0532017 APOSTOLON, BILL M

INTERNAL MEDICINE

800 WHEELING AVE

GLEN DALE, WV 26038

PCP

0440006 BROWN-BROCKLEHURS, STACEY L

FAMILY PRACTICE

407 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-1500

PCP

- 91 -

Page 94: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MARSHALL COUNTY0532018 HESS, DAVID F

INTERNAL MEDICINE

800 WHEELING AVE

GLEN DALE, WV 26038

PCP

0959006 KELLY, LAWRENCE C

FAMILY PRACTICE

4850 EOFF ST

BENWOOD, WV 26031

(304) 232-1020

PCP

0532020 LAWRENCE, MARCIA

FAMILY PRACTICE

1000 WHEELING AVE

GLEN DALE, WV 26038

(304) 843-3379

PCP

1281001 MASON, TRENT

FAMILY PRACTICE

1001 3RD ST

MOUNDSVILLE, WV 26041

(304) 845-3464

PCP

1811001 NALLY, DAVID M

FAMILY PRACTICE

426 8TH ST

GLEN DALE, WV 26038

(304) 845-4074

PCP

0532024 SALIH, SALWA

INTERNAL MEDICINE

800 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-3211

PCP

0440005 SCHMITT, ANDREW

FAMILY PRACTICE

407 WHEELING AVE

GLEN DALE, WV 26038

(304) 845-1500

PCP

0161001 WADE, ROBERT B

FAMILY PRACTICE

1001 3RD ST

MOUNDSVILLE, WV 26041

(304) 845-3464

PCP

0915006 WOOD, GREGORY K

GENERAL PRACTICE

1307 LAFAYETTE AVE

MOUNDSVILLE, WV 26041

(513) 557-2500

PCP

0915002 WOOD, RALPH E

FAMILY PRACTICE

1307 LAFAYETTE AVE

MOUNDSVILLE, WV 26041

(304) 845-2500

PCP

MASON COUNTY

1696001 VALLEY HEALTH GALLIPOLIS FERRY

MULTISPECIALTY GROUP

15167 HUNTINGTON RD

GALLIPOLIS FERR, WV 25515

(304) 675-5725

CCP

1697001 VALLEY HEALTH PT PLEASANT PEDS

MULTISPECIALTY GROUP

2801 JACKSON AVE

POINT PLEASANT, WV 25550

(304) 525-3334

CCP

1055026 AYERS, HAROLD

INTERNAL MEDICINE

2520 VALLEY DR

POINT PLEASANT, WV 25550

(304) 675-1355

PCP

- 92 -

Page 95: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MASON COUNTY1055030 DUBE MD, NIRVA

INTERNAL MEDICINE

2520 VALLEY DR

PT PLEASANT, WV 25550

(304) 675-1355

PCP

1055034 ENRICO-SIMON, AGNES

FAMILY PRACTICE

2520 VALLEY DR

PT PLEASANT, WV 25550

(304) 675-1355

PCP

2083001 GAAL, JAMES

INTERNAL MEDICINE

3471 OHIO RIVER ROAD

POINT PLEASANT, WV 25550

(304) 812-5965

PCP

1055032 HAWKINS, RANDALL

INTERNAL MEDICINE

2520 VALLEY DR

PT PLEASANT, WV 25550

(304) 675-1355

PCP

1055029 LIEVING, WESLEY

INTERNAL MEDICINE

2007 SECOND STREET

MASON, WV 25260

(304) 675-1355

PCP

1075001 PACK, CURTIS

GENERAL PRACTICE

PO BOX 236

POINT PLEASANT, WV 25550

PCP

1055031 POWELL, BRETTON

FAMILY PRACTICE

2414 JEFFERSON AVE

POINT PLEASANT, WV 25550

(304) 675-1355

PCP

1055012 TAYENGCO, ROBERT G

INTERNAL MEDICINE

2414 JEFFERSON AVE

POINT PLEASANT, WV 25550

(304) 675-4340

PCP

1055033 WEBB, CHRISTINA

FAMILY PRACTICE

2520 VALLEY DR

POINT PLEASANT, WV 25550

(304) 397-3002

PCP

0926001 WESTMORELAND, DANNY R

FAMILY PRACTICE

16 2ND ST

MASON, WV 25260

(304) 773-5333

PCP

0332039 ATAI, MOHAMMAD B

INTERNAL MEDICINE

2605 JACKSON AVE

PT PLEASANT, WV 25550

PCP

0332038 BOSLEY, LOIS J

FAMILY PRACTICE

2605 JACKSON AVE

POINT PLEASANT, WV 25550

(740) 446-5252

PCP

0332035 BREINIG, ADAM J

FAMILY PRACTICE

2605 JACKSON AVE

PT PLEASANT, WV 25550

(304) 675-4498

PCP

1801001 DILLARD, CARRIE M

FAMILY PRACTICE

2416 JEFFERSON AVE

PT PLEASANT, WV 25550

(304) 675-1355

PCP

- 93 -

Page 96: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MASON COUNTY1801002 DUBE, NIRVA

INTERNAL MEDICINE

2416 JEFFERSON AVE

POINT PLEASANT, WV 25550

(304) 675-4500

PCP

1055024 ENRICO-SIMON, AGNES

FAMILY PRACTICE

2007 SECOND STREET

MASON, WV 25260

(304) 675-1355

PCP

0332037 FISCO, DONALD A

FAMILY PRACTICE

2605 JACKSON AVE

PT PLEASANT, WV 25550

(292) 523-3600

PCP

1844001 FORDYCE, LARISSA J

FAMILY PRACTICE

2520 VALLEY DR

POINT PLEASANT, WV 25550

(304) 675-1355

PCP

0332041 KANDULA, RENUKA

INTERNAL MEDICINE

2605 JACKSON AVE

POINT PLEASANT, WV 25550

(740) 446-5224

PCP

1055028 LIEVING, WESLEY

INTERNAL MEDICINE

2520 VALLEY DR

PT PLEASANT, WV 25550

(304) 675-1355

PCP

1055025 MOFOR-ETA, FRI

UNKNOWN SPECIALTY

2414 JEFFERSON AVE

POINT PLEASANT, WV 25550

(304) 675-1355

PCP

0905003 MORGAN, BRETON L

GENERAL PRACTICE

2907 JACKSON AVE

POINT PLEASANT, WV 25550

(304) 675-6492

PCP

0332018 OWENS, MICHAEL J

INTERNAL MEDICINE

2605 JACKSON AVE

POINT PLEASANT, WV 25550

(740) 446-5252

PCP

1875001 SERFONTEIN, STEPHANUS J

INTERNAL MEDICINE

2418 JEFFERSON AVE

POINT PLEASANT, WV 25550

PCP

1055027 TAYENGCO, ROBERT G

INTERNAL MEDICINE

2520 VALLEY DR

POINT PLEASANT, WV 25550

(304) 675-4340

PCP

0670001 WAGNER, JAMES P

FAMILY PRACTICE

708 VIAND ST

POINT PLEASANT, WV 25550

(304) 675-3610

PCP

0332024 WILLOCK, MURRAY S

FAMILY PRACTICE

2605 JACKSON AVE

POINT PLEASANT, WV 25550

(740) 446-5252

PCP

0332040 ZIRILLE, MICHAEL J

FAMILY PRACTICE

2605 JACKSON AVE

POINT PLEASANT, WV 25550

(740) 446-5252

PCP

MCDOWELL COUNTY

- 94 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MCDOWELL COUNTY0798001 BUENAFE, WALDRO B

FAMILY PRACTICE

PO BOX 656

11704 MAIN STREET

WAR, WV 24892

(304) 875-2232

PCP

0329007 CARR, DAVID

FAMILY PRACTICE

PO BOX 507

GARY, WV 24836

(304) 448-2101

PCP

0953001 DE MESA, ISABELITA I

PEDIATRICS

PO BOX 459

WAR, WV 24892

(304) 875-4724

PCP

0857001 DEL ROSA, ROMULO G

FAMILY PRACTICE

26 FRONT STREET

IAEGER, WV 24844

(304) 938-2955

PCP

0861001 DUMAPIT, RUPERTO D

GENERAL PRACTICE

922 VIRGINIA AVE

WELCH, WV 24801

(304) 436-8066

PCP

0868037 FLAIM, ANTHONY

FAMILY PRACTICE

19771 COAL HEITAGE RD ST

WELCH, WV 24801

(304) 682-8238

PCP

2176001 KELLEY TALLMAN, JANE E

FAMILY PRACTICE

454 MCDOWELL ST

WELCH, WV 24801

(681) 207-7351

PCP

0329003 LEACOCK, DARRICK S

FAMILY PRACTICE

PO BOX 917

NORTHFORK, WV 24868

(304) 448-2101

PCP

0329004 LITTLE, PAUL M

FAMILY PRACTICE

PO BOX 877

US ROUTE 52 MAIN ST

NORTHFORK, WV 24868

(304) 448-2101

PCP

0505001 MACATANGAY, SERGIO C

GENERAL PRACTICE

11710 MAIN STREET

WAR, WV 24892

(304) 875-2299

PCP

0868035 MUSCARI, MICHAEL

FAMILY PRACTICE

19771 COAL HEITAGE RD ST

WELCH, WV 24801

(304) 682-8238

PCP

0868039 MUSCARI, SAMUEL A

FAMILY PRACTICE

19771 COAL HERITAGE RD

WELCH, WV 24801

(304) 436-6650

PCP

0868038 MUSCARI JR, SAMUEL

FAMILY PRACTICE

19771 COAL HEITAGE RD ST

WELCH, WV 24801

(304) 682-8238

PCP

0329005 PARKER, JOHN A

INTERNAL MEDICINE

TUG RIVER MT VIEW WELLINS

WELCH, WV 24801

(304) 448-2101

PCP

- 95 -

Page 98: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MCDOWELL COUNTY1705001 PATEL, MAHESH

INTERNAL MEDICINE

HC32 BOX 78-A

WAR, WV 24892

(304) 875-2302

PCP

0968001 PATEL, MAHESH B

INTERNAL MEDICINE

PO BOX 240

240 MAIN ST

BRADSHAW, WV 24817

(304) 967-5034

PCP

0329014 BAILEY, JOANNA

FAMILY PRACTICE

RR 103 SUPPLY ST

GARY, WV 24836

(304) 448-2101

PCP

0851007 COWANS, RODNEY

GENERAL PRACTICE

454 MCDOWELL ST

WELCH, WV 24801

PCP

0329016 KIRKPATRICK, JOSEPH

GENERAL PRACTICE

RR 103 SUPPLY STREET

GARY, WV 24836

(304) 448-2101

PCP

0329017 KIRKPATRICK, JOSEPH

GENERAL PRACTICE

PO BOX 877

10 MAIN ST

NORTHFORK, WV 24868

(304) 448-2101

PCP

0505003 MACATANGAY MD, SERGIO C

GENERAL PRACTICE

1401 ROCKET BOYS DRIVE

WAR, WV 24892

(304) 487-5229

PCP

0868029 MUSCARI, NICHOLAS

FAMILY PRACTICE

19771 COAL HERITAGE RD STE 102

WELCH, WV 24801

(304) 732-6735

PCP

0329018 PATTON, ROSS

FAMILY PRACTICE

PO BOX 507

GARY, WV 24836

(304) 448-2101

PCP

0799001 RAGO, ANDRES

FAMILY PRACTICE

HC 52 BOX 135

KEYSTONE, WV 24868

(304) 862-4611

PCP

0799003 RAGO, ANDRES

FAMILY PRACTICE

135 MAIN STREET

NORTHFORK, WV 24868

(304) 862-4611

PCP

0329019 ROBINSON, SANDRA J

FAMILY PRACTICE

PO BOX 507

103 SUPPLY ST

GARY, WV 24836

PCP

1319019 SUSSMAN, KENNETH

GENERAL PRACTICE

454 MCDOWELL ST

WELCH, WV 24801

PCP

MERCER COUNTY

- 96 -

Page 99: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1072001 ALATTAR, INAS

PEDIATRICS

34 NEW HOPE RD STE 3

PRINCETON, WV 24740

(307) 487-0415

PCP

1635004 ALIFF, JESSICA

UNKNOWN SPECIALTY

118 12TH STREET

PRINCETON, WV 24740

(304) 308-0318

PCP

2037001 ALIFF DO, JESSICA

FAMILY PRACTICE

401 E VERMILLION ST

ATHENS, WV 24712

(304) 384-7325

PCP

1232001 AMIN, MAYANK S

INTERNAL MEDICINE

510 CHERRY ST STE 204

BLUEFIELD, WV 24701

(304) 324-2715

PCP

1908002 AMJAD, QUARTEL-AYNE

INTERNAL MEDICINE

120 12TH STREET

PRINCETON, WV 24740

(304) 252-5900

PCP

0884001 BAILES, OSCAR J

FAMILY PRACTICE

162 SPRINGHAVEN DR

PRINCETON, WV 24740

(304) 425-3922

PCP

1635005 BAILEY, AMANDA

FAMILY PRACTICE

118 12TH STREET

PRINCETON, WV 24740

(304) 487-7926

PCP

0988001 BHASIN, RAM P

FAMILY PRACTICE

1609 STADIUM DR

BLUEFIELD, WV 24701

(304) 325-7460

PCP

0988002 BHASIN, SUNITA M

FAMILY PRACTICE

1609 STADIUM DR

PO BOX 1748

BLUEFIELD, WV 24701

(304) 325-7460

PCP

0330027 BILLIPS, RONALD W

FAMILY PRACTICE

3016 E CUMBERLAND RD

BLUEFIELD, WV 24701

(304) 431-5499

PCP

0330026 BIRD, WILLIAM

FAMILY PRACTICE

200 12TH STREET EXT

PRINCETON, WV 24740

(301) 431-1400

PCP

0330016 BIRD, WILLIAM

FAMILY PRACTICE

3997 BECKLEY RD

PRINCETON, WV 24740

(304) 431-5499

PCP

1800007 BOWLING, LADONNA

FAMILY PRACTICE

510 CHERRY ST STE 308

BLUEFIELD, WV 24701

(877) 848-1457

PCP

1286001 FAULKNER, PAMELA P

UNKNOWN SPECIALTY

403 12TH STREET EXT

PRINCETON, WV 24740

(304) 431-9998

PCP

- 97 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1635001 FRITZIUS, ASHLEY M

FAMILY PRACTICE

118 12TH STREET EXT

PRINCETON, WV 24740

(304) 487-7936

PCP

1409003 GLASSCOCK, TELITHA

FAMILY PRACTICE

401 12TH STREET EXT

PRINCETON, WV 24740

(304) 431-5041

PCP

1221001 HENSLEY, LOREN A

INTERNAL MEDICINE

407 12TH STREET EXT

PRINCETON, WV 24740

(304) 487-0232

PCP

1221002 HENSLEY, LOREN A

INTERNAL MEDICINE

PO BOX 1369

PRINCETON, WV 24740

(304) 487-0232

PCP

1269001 HUNTER, EDWARD B

FAMILY PRACTICE

1421 STADIUM DR

BLUEFIELD, WV 24701

(304) 325-2447

PCP

1323001 JOSE, REYNALDO

GENERAL PRACTICE

RR 2 BOX 382

BLUEFIELD, WV 24701

(304) 324-8846

PCP

1323003 JOSE, REYNALDO

FAMILY PRACTICE

978 BLUE PRINCE RD

BLUEFIELD, WV 24701

(304) 425-1768

PCP

1545001 KASSEM, OMAR

FAMILY PRACTICE

401 VERMILLION ST

ATHENS, WV 24712

(304) 824-7325

PCP

0812003 KHOKAR, GHAZALA

UNKNOWN SPECIALTY

608 NEW HOPE RD STE 3

PRINCETON, WV 24740

(304) 487-6065

PCP

0812001 KHOKAR, GHAZALA Q

PEDIATRICS

1322 STADIUM DR

BLUEFIELD, WV 24701

(304) 325-7931

PCP

0585001 KOH, YUNG H

FAMILY PRACTICE

100 NEW HOPE RD STE 5

PRINCETON, WV 24740

(304) 425-2095

PCP

1635006 LOHUIS, NANCY A

FAMILY PRACTICE

118 12TH ST

PRINCETON, WV 24740

(304) 487-7936

PCP

1645001 LONG, MARSHALL C

FAMILY PRACTICE

200 NEW HOPE RD

STE 2 QUAIL VALLEY

PRINCETON, WV 24740

(304) 327-2974

PCP

1635007 LONG DO, MARSHALL C

FAMILY PRACTICE

PO BOX 5610

118 12TH STREET

PRINCETON, WV 24740

(304) 327-2974

PCP

- 98 -

Page 101: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1323002 LUCERO, MARIO

GENERAL PRACTICE

1331 SOUTHVIEW DR STE 9

BLUEFIELD, WV 24701

(304) 324-8367

PCP

1608002 MCKELVEY, MARY

INTERNAL MEDICINE

756 ATHENS RD

PRINCETON, WV 24740

(508) 836-3663

PCP

0513047 MITCHELL, TARA

PEDIATRICS

756 ATHENS RD

PRINCETON, WV 24740

(508) 836-3663

PCP

1635008 MURILLO, JEFFREY

INTERNAL MEDICINE

122 12TH ST

PRINCETON, WV 24740

(301) 255-3000

PCP

0330028 MUSCARI, NICHOLAS S

FAMILY PRACTICE

3997 BECKLEY RD

PRINCETON, WV 24740

(304) 431-5499

PCP

2174001 MUSCARI, NICHOLAS S

FAMILY PRACTICE

5451 SIMMONS RIVER ROAD

MONTCALM, WV 24737

(304) 431-5499

PCP

0846001 NERI, FLORENCIO P

FAMILY PRACTICE

702 STAFFORD DR

PRINCETON, WV 24740

(304) 425-0085

PCP

0330024 NUNLEY, SAMANTHA

FAMILY NURSE PRACTITIONER

3397 BECKLEY RD

PRINCETON, WV 24740

(304) 461-5499

PCP

0330025 NUNLEY, SAMANTHA

FAMILY NURSE PRACTITIONER

3997 BECKLEY RD

PRINCETON, WV 24740

(304) 461-5499

PCP

1221007 PARRISH, CHRISTOPHER D

INTERNAL MEDICINE

407 12TH STREET EXT

PO BOX 5065

PRINCETON, WV 24740

(304) 487-0232

PCP

0884005 PETERS, JANA M

FAMILY PRACTICE

365 COURTHOUSE RD

PRINCETON, WV 24740

(304) 425-3922

PCP

1549001 RANA, ANJUM

PEDIATRICS

144 UNDERCLIFF TER

PRINCETON, WV 24740

(304) 425-0120

PCP

0330010 RANA, HAMZA

INTERNAL MEDICINE

3997 BECKLEY RD

PRINCETON, WV 24740

(304) 431-5499

PCP

1221005 REMINES, MICHAEL B

INTERNAL MEDICINE

407 12TH STREET EXT

PRINCETON, WV 24740

(304) 487-0232

PCP

- 99 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1593001 RUNYON, RYAN T

FAMILY PRACTICE

904 HARRISON ST

PRINCETON, WV 24740

(304) 431-7100

PCP

0713002 SAFDER, ASMA

PEDIATRICS

216 NEW HOPE RD

PRINCETON, WV 24740

(304) 425-2355

PCP

0513039 SHORTER, RICHARD A

FAMILY PRACTICE

756 ATHENS RD

PRINCETON, WV 24740

(508) 836-3663

PCP

1221004 SMITH, TODD A

INTERNAL MEDICINE

407 12TH STREET EXT

PRINCETON, WV 24740

(304) 487-0232

PCP

1999001 STEPP, JONI M

FAMILY PRACTICE

904 HARRISON ST

PRINCETON, WV 24740

(304) 431-7100

PCP

1821001 AGWA, EMMANUEL A

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(800) 352-9500

PCP

1800001 ASBURY, CAROL A

FAMILY PRACTICE

3720 COAL HERITAGE RD

BLUEFIELD, WV 24701

PCP

0330019 BILLIPS, RONALD W

FAMILY PRACTICE

3997 BECKLEY RD

PRINCETON, WV 24740

(304) 431-5499

PCP

0330020 BILLIPS MD, RONALD W

FAMILY PRACTICE

10001 SIMMONS RIVER RD

MONTCALM, WV 24737

(304) 431-5499

PCP

0508003 BRINEGAR, THOMAS E

GENERAL PRACTICE

500 CHERRY ST

BLUEFIELD REGIONAL MED CTR

BLUEFIELD, WV 24701

(304) 327-1100

PCP

1800004 BUNNELL, MELISSA

FAMILY PRACTICE

511 BLUE PRINCE RD

BLUEFIELD, WV 24701

PCP

1800002 COFER, HAROLD A

FAMILY PRACTICE

3720 COAL HERITAGE RD

BLUEFIELD, WV 24701

(877) 455-4778

PCP

1804001 EDWARDS, CHARLES L

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(863) 381-2144

PCP

1386003 EDWARDS, ROBERT W

UNKNOWN SPECIALTY

488E CHERRY ST STE 2

BLUEFIELD, WV 24701

(304) 327-1890

PCP

- 100 -

Page 103: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1791001 FOUGHT, AMY

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

PCP

0688001 JAVIER, DOMINGO G

GENERAL PRACTICE

1701 JEFFERSON ST

BLUEFIELD, WV 24701

(304) 325-5755

PCP

1821004 KHANAL, PRAKASH

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

PCP

1804002 MARTINEZ, JESUS

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(770) 740-0895

PCP

1232005 MCCLANAHAN, ERIC S

INTERNAL MEDICINE

512 CHERRY ST BLDG I

BLUEFIELD, WV 24701

PCP

1800005 MURPHY, MICHAEL

FAMILY PRACTICE

510 CHERRY ST STE 308

BLUEFIELD, WV 24701

(877) 455-4778

PCP

1804003 ONEAL, JINAYA L

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(863) 381-2144

PCP

1866003 PATEL, SHEILA S

INTERNAL MEDICINE

122 12TH STREET EXT

PRINCETON, WV 24740

(800) 562-2945

PCP

1821002 PAYNE, JASON J

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(304) 327-1100

PCP

1800006 PETERSON, PHILLIP

FAMILY PRACTICE

500 CHERRY ST

BLUEFIELD, WV 24701

(877) 455-4778

PCP

0875002 RANA, SHAHNAZ I

INTERNAL MEDICINE

100 NEW HOPE RD STE 208

PRINCETON, WV 24740

(304) 425-8707

PCP

1804004 REYES, RAZELLE J

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

(304) 327-1134

PCP

1821006 SHARMA, SMRITI I

INTERNAL MEDICINE

500 CHERRY ST

BLUEFIELD, WV 24701

PCP

0536040 SMITH, JAMES

FAMILY PRACTICE

1780 STADIUM DR

BLUEFIELD, WV 24701

(304) 756-3674

PCP

- 101 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MERCER COUNTY1800003 YATES, JONATHAN

FAMILY PRACTICE

500 CHERRY ST

BLUEFIELD, WV 24701

(877) 455-4778

PCP

MINERAL COUNTY

2153001 POTOMAC VALLEY HOSPITAL

MULTISPECIALTY GROUP

100 PIN OAK LN

KEYSER, WV 26726

Accepting New Patients: Yes

CCP

0551012 ABID, AYESHA

FAMILY PRACTICE

100 PIN OAK LN

KEYSER, WV 26726

(304) 597-3500

PCP

0361001 BESS, CHARLES D

FAMILY PRACTICE

PO BOX 944

KEYSER, WV 26726

(304) 788-6462

PCP

0556001 BESS, ROBERT

FAMILY PRACTICE

122 ASHFIELD ST

PIEDMONT, WV 26750

(304) 355-2323

PCP

0446001 BOKIL, HARSHAD

UNKNOWN SPECIALTY

566 S MINERAL ST

KEYSER, WV 26726

(304) 788-6685

PCP

1971001 GRAVES, MELISSA D

FAMILY PRACTICE

164 PARKVIEW DR

KEYSER, WV 26726

(304) 597-2494

PCP

2171001 HARTMAN, LOIS

INTERNAL MEDICINE

122 ASHFIELD ST

PIEDMONT, WV 26750

(304) 597-3545

PCP

0551013 ITANI, BILAL A

PEDIATRICS

48 OAK STREET

ELK GARDEN, WV 26717

(304) 446-5505

PCP

2171002 ITANI, BILAL A

PEDIATRICS

122 ASHFIELD ST

PIEDMONT, WV 26750

(304) 446-5505

PCP

2049001 ITANI, BILAL A

UNKNOWN SPECIALTY

233 S MINERAL ST

KEYSER, WV 26726

(304) 285-7100

PCP

1644003 LIVENGOOD, PAUL T

FAMILY PRACTICE

70 PRESIDENTS ST

FORT ASHBY, WV 26719

(304) 298-3605

PCP

2171004 NILAND, DIANA L

INTERNAL MEDICINE

122 ASHFIELD ST

PIEDMONT, WV 26750

(304) 355-2323

PCP

- 102 -

Page 105: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MINERAL COUNTY1703001 PRICE, ELAINE

FAMILY PRACTICE

RR 4 BOX 104

KEYSER, WV 26726

PCP

1607001 SAWEIKIS, ANTHONY

FAMILY PRACTICE

RR 3 BOX 3221

KEYSER, WV 26726

(304) 597-1322

PCP

0551014 SHROFF, MAHESH B

INTERNAL MEDICINE

100 PIN OAK LN

KEYSER, WV 26726

(304) 597-3500

PCP

2172001 SHROFF, MAHESH B

INTERNAL MEDICINE

390 CARSKADON LN

KEYSER, WV 26726

(304) 597-3500

PCP

1774002 THOMAS, WILLIAM S

FAMILY PRACTICE

1234 NEW CREEK HWY

KEYSER, WV 26726

(304) 788-9320

PCP

2171003 ZALZAL, RABIE

INTERNAL MEDICINE

122 ASHFIELD ST

PIEDMONT, WV 26750

(304) 355-2323

PCP

0551015 ZALZAL, RABIE H

INTERNAL MEDICINE

48 OAK STREET

ELK GARDEN, WV 26717

(304) 446-5505

PCP

0983001 ZALZAL, RABIE H

INTERNAL MEDICINE

537 S MINERAL ST

KEYSER, WV 26726

(304) 788-1274

PCP

1839001 COUSINS, JOY

FAMILY PRACTICE

164 PARKVIEW DR

KEYSER, WV 26726

(304) 597-3537

PCP

0551005 LEFLER, KENNETH D

GENERAL PRACTICE

167 S MINERAL ST

KEYSER, WV 26726

PCP

1644002 LIVENGOOD, PAUL T

FAMILY PRACTICE

RT 28 LINCOLN ST

FORT ASHBY, WV 26719

(301) 722-3111

PCP

1834001 ROGERS, JILLIAN L

FAMILY PRACTICE

11 HUNT CLUB PLZ

RIDGELEY, WV 26753

(304) 726-4501

PCP

MINGO COUNTY1699001 STEPPTOWN COMMUNITY HEALTH

CTR

MULTISPECIALTY GROUP

3 ADENA DR

PO BOX 716

KERMIT, WV 25674

(304) 393-4090

CCP

- 103 -

Page 106: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MINGO COUNTY1806001 BECKETT, CHRISTOPHER D

FAMILY PRACTICE

184 E 2ND AVE

WILLIAMSON, WV 25661

PCP

1367001 BUTT, AHSEN A

INTERNAL MEDICINE

859 ALDERSON ST

WILLIAMSON, WV 25661

(606) 237-4800

PCP

0612038 COPLEY, MARY

FAMILY PRACTICE

5027 HELENA AVENE STE 1

DELBARTON, WV 25670

(304) 475-1761

PCP

0612039 COPLEY, MARY

FAMILY PRACTICE

PO BOX 1842

20 LARRY JOE HARLESS DR

GILBERT, WV 25621

(304) 664-6270

PCP

0901001 ENDICOTT, JAMES W

FAMILY PRACTICE

108 MINGO ST

KERMIT, WV 25674

(304) 393-4303

PCP

0868015 FLAIM, ANTHONY R

FAMILY PRACTICE

113 3RD AVENUE

GILBERT, WV 25621

(304) 664-5699

PCP

2086001 FRANCIS, BRIAN

INTERNAL MEDICINE

184 E 2ND AVE

WILLIAMSON, WV 25661

(304) 236-5902

PCP

0612034 GALAPON, PHILIP

FAMILY PRACTICE

202 LARRY JOE HARLESS DR

GILBERT, WV 25621

(304) 824-5860

PCP

1990001 GHODASARA, DILIP P

INTERNAL MEDICINE

859 ALDERSON ST

WILLIAMSON, WV 25661

(800) 962-3303

PCP

0680005 HARIDAS, SHOBHA

PEDIATRICS

104 LOGAN ST

WILLIAMSON, WV 25661

(304) 235-0146

PCP

0680014 MARCUM, PATTI J

FAMILY PRACTICE

184 EAST 2ND AVE STE 1

PO BOX 1958

WILLIAMSON, WV 25661

(304) 235-2930

PCP

0868018 MUSCARI, MICHAEL A

FAMILY PRACTICE

113 3RD AVENUE

GILBERT, WV 25621

(304) 664-5699

PCP

0868016 MUSCARI, SAMUEL A

FAMILY PRACTICE

113 3RD AVENUE

GILBERT, WV 25621

(304) 664-5699

PCP

0868023 MUSCARI, SAMUEL A

FAMILY PRACTICE

113 3RD AVE

GILBERT, WV 25621

(304) 664-5699

PCP

- 104 -

Page 107: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MINGO COUNTY0689001 PAJARILLO, LEO P

PEDIATRICS

701 COLLEGE HL

WILLIAMSON, WV 25661

(304) 235-5225

PCP

0488047 PALMER, JAN

FAMILY PRACTICE

1300 PIERPONT DR

MORGANTOWN, WV 25608

(304) 599-9400

PCP

0576009 RALLOS, ENRICO V

FAMILY PRACTICE

PO BOX 925

MAIN ST

GILBERT, WV 25621

(304) 664-3223

PCP

0930001 TAMPOYA, MANOLO D

GENERAL PRACTICE

STATE ROUTE 65 MAIN STREET

LENORE, WV 25676

(304) 475-3321

PCP

0009013 ABBAS, MUNEEL

UNKNOWN SPECIALTY

859 ALDERSON ST

WILLIAMSON, WV 25661

PCP

0009014 ABBAS, MUNEEL

FAMILY PRACTICE

RT 52 GUYANDOTTE AVE

GILBERT, WV 25621

(877) 848-1457

PCP

0612024 ADKINS, KENNETH

FAMILY PRACTICE

202 LARRY JOE HARLESS DR

GILBERT, WV 25621

(304) 824-5860

PCP

1363001 CAMOMOT, WIGBERTO C

FAMILY PRACTICE

PO BOX 329

329 MAIN ST

RED JACKET, WV 25692

(304) 561-2829

PCP

0772001 CARRILLO, OSCAR P

FAMILY PRACTICE

PO BOX 728

DELBARTON, WV 25670

(304) 475-3334

PCP

1798001 FRANCIS, BRIAN

INTERNAL MEDICINE

213 LOGAN ST

PO BOX 1097

WILLIAMSON, WV 25661

(800) 555-1212

PCP

0868032 MUSCARI, NICHOLAS

FAMILY PRACTICE

113 3RD AVE

GILBERT, WV 25621

(304) 436-6650

PCP

1872002 SIEGEL, SCOTT

FAMILY PRACTICE

52 OHIO STREET

KERMIT, WV 25674

(304) 393-9450

PCP

MONONGALIA COUNTY2167001 CLAY-BATTELLE HEALTH SERVICES

MULTISPECIALTY GROUP

5861 MASON DIXON HWY

BLACKSVILLE, WV 26521

(304) 432-8211

Accepting New Patients: Yes

CCP

- 105 -

Page 108: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY2162001 CHEAT LAKE PHYSICIANS

MULTISPECIALTY GROUP

608 CHEAT RD

MORGANTOWN, WV 26508

(304) 594-1313

Accepting New Patients: Yes

CCP

2132001 MORGANTOWN SOUTH

MULTISPECIALTY GROUP

250 RETAIL CIR STE 106

MORGANTOWN, WV 26508

(304) 598-4881

Accepting New Patients: Yes

CCP

2127001 STUDENT HEALTH HEALTH EDUC BLD

MULTISPECIALTY GROUP

390 BIRCH ST STE B

MORGANTOWN, WV 26506

(304) 285-7324

Accepting New Patients: Yes

CCP

2143001 UNIVERSITY TOWN CENTRE

MULTISPECIALTY GROUP

6040 UNIVERSITY TOWN CENTRE DR

MORGANTOWN, WV 26501

(304) 293-6307

Accepting New Patients: Yes

CCP

2133001 UNIVERSITY TOWN CENTRE-SLEETH

MULTISPECIALTY GROUP

6040 UNIVERSITY TOWN CENTRE DR

MORGANTOWN, WV 26501

(304) 598-6900

Accepting New Patients: Yes

CCP

2103001 WVU CHEAT LAKE PHYSCIANS

MULTISPECIALTY GROUP

608 CHEAT RD

MORGANTOWN, WV 26508

(304) 594-1313

Accepting New Patients: Yes

CCP

2147001 WVU MEDICINE CRANBERRY SQUARE

MULTISPECIALTY GROUP

2601 CRANBERRY SQ

MORGANTOWN, WV 26508

(304) 285-1702

Accepting New Patients: Yes

CCP

2135001 WVU MEDICINE SUNCREST TOWNE CE

MULTISPECIALTY GROUP

600 SUNCREST TOWNE CENTER

MORGANTOWN, WV 26505

(304) 598-4478

Accepting New Patients: Yes

CCP

2130001 WVUH PHYSICIAN OFFICE CENTER

MULTISPECIALTY GROUP

1 MEDICAL CENTER DR

MORGANTOWN, WV 26506

(304) 598-4800

Accepting New Patients: Yes

CCP

1236004 MINOR, WILLIAM R

FAMILY PRACTICE

30 MON GENERAL DR

MORGANTOWN, WV 26505

(724) 425-9739

PCP

1610006 ACCORD, ELIZABETH L

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(724) 816-3434

PCP

1961002 ALMUSTAFA, AHMED R

INTERNAL MEDICINE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 598-0363

PCP

0488040 ARTHURS, C B

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 599-9400

PCP

0488001 ARTHURS, CHARLES B

UNKNOWN SPECIALTY

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

- 106 -

Page 109: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY0488002 ARTHURS, CHARLES B

FAMILY PRACTICE

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 598-2233

PCP

0280029 BAILEY, JAMES

FAMILY PRACTICE

933 CHEAT RD

MORGANTOWN, WV 26508

(304) 594-2400

PCP

0175001 BARCLAY, ROGER S

INTERNAL MEDICINE

200 WEDGEWOOD DR STE 102

MORGANTOWN, WV 26505

(304) 599-0563

PCP

0280019 BARNETT, ALAN L

FAMILY PRACTICE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 594-2400

PCP

2019001 BHARDWAJ, RAHUL

INTERNAL MEDICINE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 413-2552

PCP

1786008 BHARTI, SANJAY

UNKNOWN SPECIALTY

1160 VAN VOORHIS RD

MORGANTOWN, WV 26505

(888) 898-3294

PCP

0280028 BOWERS, ROBERT J

FAMILY PRACTICE

933 CHEAT RD

MORGANTOWN, WV 26508

(304) 594-2400

PCP

0488004 BOWLIN, DAVID

PEDIATRICS

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

0488041 BOWLIN, DAVID

PEDIATRICS

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

0488003 BOWLIN, DAVID A

PEDIATRICS

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 598-2233

PCP

1610008 BRANT, RICHARD W

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(724) 816-3434

PCP

0488005 BYRON, BRANDON P

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

0488006 BYRON, BRANDON P

FAMILY PRACTICE

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 292-7316

PCP

0488042 BYRON, BRANDON P

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 599-9400

PCP

- 107 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY0536049 COSTELLO, LISA

INTERNAL MEDICINE

1 MEDICAL CENTER DR

MORGANTOWN, WV 26506

(828) 257-3777

PCP

0280027 CUNANAN, ROLANDO

FAMILY PRACTICE

200 WEDGEWOOD DR

MORGANTOWN, WV 26505

(304) 598-2200

PCP

0280039 DEMNIAK, MARQUIS A

FAMILY NURSE PRACTITIONER

3000 MON HEALTH MED PARK DR

SUITE 3203

MORGANTOWN, WV 26505

(304) 598-7313

PCP

0488043 DIXON, BRIAN

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

0280042 DIXON, BRIAN

FAMILY PRACTICE

1000 MON HEALTH MEDICAL

MORGANTOWN, WV 26505

(304) 598-2233

PCP

0488009 DIXON, BRIAN J

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 598-2233

PCP

0488010 DIXON, BRIAN J

UNKNOWN SPECIALTY

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

1961001 GABRIEL, JACKLYN

FAMILY PRACTICE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 413-2552

PCP

0520001 GARRETT, ROBIN W

FAMILY PRACTICE

210 LAKEWOOD CTR

MORGANTOWN, WV 26508

(304) 594-2400

PCP

0520002 HAWTHORNE, BRIAN W

FAMILY PRACTICE

210 LAKEWOOD CTR

MORGANTOWN, WV 26508

(304) 594-2400

PCP

0280033 HESS, ALAN R

INTERNAL MEDICINE

1195 PINEVIEW DR

MORGANTOWN, WV 26505

(304) 285-3662

PCP

0280037 HICKMAN, SHIRLEY

EMERGENCY MEDICINE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 598-1200

PCP

0280026 HORAN, CHARLENE

INTERNAL MEDICINE

1929 MASON DIXON

CORE, WV 26541

(304) 879-5027

PCP

0488059 JOHNSON, MEGAN D

UNKNOWN SPECIALTY

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

- 108 -

Page 111: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY0488060 JOHNSON, MEGAN D

FAMILY PRACTICE

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 292-7316

PCP

0488061 JOHNSON, MEGAN D

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

1961004 KAWSARA, MOHAMMAD

INTERNAL MEDICINE

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 413-2552

PCP

0488045 KOLANKO, VINCENT

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

0488016 KOLANKO, VINCENT P

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

0488017 KOLANKO, VINCENT P

PEDIATRICS

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 292-7316

PCP

1610003 LAMBERT, MELISSA R

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(304) 599-8000

PCP

0488053 LARKIN, EMILY B

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 598-2233

PCP

0488054 LARKIN, EMILY B

UNKNOWN SPECIALTY

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 292-7316

PCP

0488055 LARKIN, EMILY B

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

1647002 LI, LAP-YANG J

PEDIATRICS

1202 SUNCREST TOWN CENTRE DR

MORGANTOWN, WV 26505

(304) 599-2004

PCP

1610009 MADDIX, ALICIA E

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(304) 598-0363

PCP

1052001 MAJUMDER, INDIRA

PEDIATRICS

1189 PINEVIEW DR STE E

MORGANTOWN, WV 26505

(304) 599-2441

PCP

1610007 MALONE, PATRICIA J

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

PCP

- 109 -

Page 112: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY0536051 MANIVANNAN, SHANTHI

INTERNAL MEDICINE

1 MEDICAL CENTER DR

MORGANTOWN, WV 26506

(828) 257-3777

PCP

0488051 MARCUCCI, ANTHNOY D

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 598-2233

PCP

0488027 MARCUCCI, ANTHONY D

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 598-2233

PCP

0488052 MARCUCCI, ANTHONY D

UNKNOWN SPECIALTY

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

1610001 MCBRIDE, LISA A

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(304) 599-8000

PCP

1610005 MCNEIL-GLASSFORD, JAN

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

PCP

0488056 MERSING, JAMES B

FAMILY PRACTICE

1300 FORT PIERPONT DR STE 101

MORGANTOWN, WV 26508

(304) 598-2233

PCP

0488057 MERSING, JAMES B

FAMILY PRACTICE

900 FAIRMONT RD

WESTOVER, WV 26501

(304) 292-7316

PCP

0488058 MERSING, JAMES B

UNKNOWN SPECIALTY

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

0280041 MITCHELL, WILLIAM

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 241-7150

PCP

0488020 MITCHELL, WILLIAM C

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 598-2223

PCP

0488021 MITCHELL, WILLIAM C

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 599-9400

PCP

1610004 MOLINARI-FRYER, KARYN L

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(724) 816-3434

PCP

0536050 MORELAND, JASON A

GENERAL PRACTICE

1 MEDICAL CENTER DRIVE

MORGANTOWN, WV 26506

(828) 257-3777

PCP

- 110 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY1647001 NEELY, ELIZABETH J

PEDIATRICS

1202 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(304) 599-2004

PCP

0488037 PALMER, JAN

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 598-2233

PCP

1241001 RASMUSSEN, NORVAL L

FAMILY PRACTICE

1526 MILEGROUND RD

MORGANTOWN, WV 26505

(304) 292-4996

PCP

0280038 SAKELLARIDES, GABRIELLE

FAMILY PRACTICE

1929 MASON DIXON HWY

CORE, WV 26541

(724) 324-9001

PCP

0536053 SHOCKCOR, WILLIAM T

INTERNAL MEDICINE

1 MEDICAL CENTR DRIVE

MORGATNOWN, WV 26506

(828) 257-3777

PCP

0488028 TALKINGTON, ANDREW

FAMILY PRACTICE

1197 VAN VOORHIS RD

MORGANTOWN, WV 26505

(304) 472-1600

PCP

0488048 TALKINGTON, ANDREW

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 472-1600

PCP

0488049 TALKINGTON, ANDREW

FAMILY PRACTICE

1300 FORT PIERPONT DR

MORGANTOWN, WV 26508

(304) 598-2233

PCP

1610002 THOMSON-MALONE, PATRICIA J

PEDIATRICS

1247 SUNCREST TOWNE CENTRE

MORGANTOWN, WV 26505

(304) 599-8000

PCP

0280022 ABE, MICHELLE

FAMILY PRACTICE

933 CHEAT RD

MORGANTOWN, WV 26508

(304) 598-6907

PCP

1786004 BLATT MD, JOSEPH R

INTERNAL MEDICINE

4000 HAMPTON CTR STE B

MORGANTOWN, WV 26505

(304) 296-2395

PCP

0488032 BRANDON, BYRON

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 599-9400

PCP

1786006 CHADHA, PRADEEP

UNKNOWN SPECIALTY

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(800) 282-4548

PCP

1786002 CHOUDRI MD, AMBREEN

INTERNAL MEDICINE

PO BOX 4502

MORGANTOWN, WV 26504

(304) 296-2395

PCP

- 111 -

Page 114: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONONGALIA COUNTY1786003 CLARK, CHRISTY A

INTERNAL MEDICINE

1526 MILEGROUND RD

MORGANTOWN, WV 26505

(719) 277-7545

PCP

1786005 GHABRA, MUHAMMAD A

INTERNAL MEDICINE

1200 JD ANDERSON DR

MORGANTOWN, WV 26505

(304) 598-1200

PCP

0539097 GLOGOWSKI, KAREN

FAMILY PRACTICE

40 COMMERCE DR STE 101

WESTOVER, WV 26501

(304) 623-3461

PCP

0280021 HAWTHORNE, BRIAN W

FAMILY PRACTICE

PO BOX 1615

MORGANTOWN, WV 26507

PCP

0016001 HESS, ALAN R

INTERNAL MEDICINE

3132 COLLINS FERRY RD

MORGANTOWN, WV 26505

(304) 598-2442

PCP

0016002 HORVATH, GABRIELLA G

INTERNAL MEDICINE

3132 COLLINS FERRY RD

MORGANTOWN, WV 26505

(304) 598-2442

PCP

1236002 MINOR, WILLIAM R

FAMILY PRACTICE

1401 EARL L CORE RD STE D

MORGANTOWN, WV 26505

(305) 285-5515

PCP

1123001 MUNOZ-POSADA, EMMANUEL

GENERAL PRACTICE

918 CHESTNUT RIDGE RD STE 9

MORGANTOWN, WV 26505

(304) 598-2632

PCP

1860001 ONISHI, NORIHITO

FAMILY PRACTICE

3280 UNIVERSITY AVE STE 1

MORGANTOWN, WV 26505

(304) 598-1177

PCP

1884001 PAINE, WARD J

UNKNOWN SPECIALTY

1200 J D ANDERSON DR

MORGANTOWN, WV 26505

(304) 777-4044

PCP

0488033 PALMER, JAN

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 599-9400

PCP

0488034 SEDLMEYER, TROY L

FAMILY PRACTICE

900 FAIRMONT RD

MORGANTOWN, WV 26501

(304) 599-9400

PCP

MONROE COUNTY0340021 CLARKSON, MARK A

FAMILY PRACTICE

2869 SENECA TRAIL SOUTH

PETERSTOWN, WV 24963

(304) 772-3064

PCP

- 112 -

Page 115: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MONROE COUNTY1583001 GELDERMAN, ALBERT H

GENERAL PRACTICE

RT 219 AT DUNLAP ST

PO BOX 500

UNION, WV 24983

(304) 772-3211

PCP

1583002 GELDERMAN, MARTHA J

FAMILY PRACTICE

PO BOX 500

RT 219 AT DUNLAP ST

UNION, WV 24983

(304) 772-3211

PCP

0340019 JAMESON, STEVEN K

FAMILY PRACTICE

200 HEALTH CENTER DR

UNION, WV 24983

(304) 772-3064

PCP

0340017 JEWELL, MARIE B

FAMILY PRACTICE

200 HEALTH CENTER DR

UNION, WV 24983

(304) 772-3064

PCP

1219005 MILLER, STEPHEN M

FAMILY PRACTICE

3921 SENECA TRAIL SOUTH

PETERSTOWN, WV 24963

(304) 753-9100

PCP

0340012 SIBOLD, SOPHIA A

FAMILY PRACTICE

200 HEALTH CENTER

PO BOX 590

UNION, WV 24983

(304) 772-3064

PCP

0340018 JAMESON, STEVEN K

FAMILY PRACTICE

2869 SENECA TRAIL SOUTH

PETERSTOWN, WV 24963

(304) 772-3064

PCP

MORGAN COUNTY

1252001 BERENS, ANDREW J

FAMILY PRACTICE

236 N WASHINGTON ST

BERKELEY SPGS, WV 25411

(304) 264-8570

PCP

1755001 MICHAEL, AMANDA G

FAMILY PRACTICE

2055 VALLEY RD

BERKELEY SPGS, WV 25411

(304) 258-8824

PCP

0516001 QUARANTILLO, EDWARD P

FAMILY PRACTICE

81 WAR MEMORIAL DR

BERKELEY SPGS, WV 25411

(304) 258-8805

PCP

0516003 QUARANTILLO, EDWARD P

INTERNAL MEDICINE

1 HEALTHY WAY

BERKELEY SPGS, WV 25411

(540) 678-3588

PCP

0516002 QUARANTILLO, PAMELA L

PEDIATRICS

81 WAR MEMORIAL DR

BERKELEY SPGS, WV 25411

(540) 678-3588

PCP

1902001 SCHILDT, TRAVIS

FAMILY PRACTICE

261 BERKMORE PL STE 1A

BERKELEY SPGS, WV 25411

(301) 678-7256

PCP

- 113 -

Page 116: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

MORGAN COUNTY1077006 THOMAS, JEROME

FAMILY PRACTICE

783 WINCHESTER ST

PAW PAW, WV 25434

(304) 947-5500

PCP

1796001 BHASKAR, BENNY

INTERNAL MEDICINE

1 HEALTHY WAY

BERKELEY SPGS, WV 25411

(304) 258-6981

PCP

1796002 HASHEM, JOSEPH F

INTERNAL MEDICINE

226 GAYLE DR

BERKELEY SPGS, WV 25411

(304) 258-9433

PCP

1796003 HILES, LIZA

FAMILY PRACTICE

1 HEALTHY WAY

BERKELEY SPGS, WV 25411

(540) 536-3300

PCP

1154012 MENON, SURECH K

FAMILY PRACTICE

1124 FAIRFAX STERN PIKE

BERKELEY SPRING, WV 25411

(304) 822-3838

PCP

0547001 MERIWETHER, WILHELM

GENERAL PRACTICE

1124 FAIRFAX ST

BERKELEY SPGS, WV 25411

(304) 258-1234

PCP

1077005 TORKELSON, MICHAEL

FAMILY PRACTICE

783 WINCHESTER ST

PAW PAW, WV 25434

(304) 947-5504

PCP

NICHOLAS COUNTY

2066001 SUMMERSVILLE WOMENS HEALTH

CEN

MULTISPECIALTY GROUP

400 FAIRVIEW HEIGHTS RD

SUITE 200

SUMMERSVILLE, WV 26651

(304) 872-5835

Accepting New Patients: Yes

1724001 NEW RIVER HEALTH SUMMERSVILLE

MULTISPECIALTY GROUP

30 GRIZZLEY LN

SUMMERSVILLE, WV 26651

(304) 883-3900

Accepting New Patients: Yes

CCP

0642001 CHANG, HAO

GENERAL PRACTICE

25 OAKFORD AVE

RICHWOOD, WV 26261

(304) 846-2608

PCP

0613010 CONLEY, PAUL

INTERNAL MEDICINE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5124

PCP

0678016 DAWSON, JOSEPH

FAMILY PRACTICE

58 E MAIN ST

RICHWOOD, WV 26261

(304) 226-5725

PCP

1709001 DAWSON, JOSEPH F

FAMILY PRACTICE

46 RED OAK DR

CRAIGSVILLE, WV 26205

PCP

- 114 -

Page 117: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

NICHOLAS COUNTY1709002 DAWSON, JOSEPH F

FAMILY PRACTICE

58 MAIN ST

RICHWOOD, WV 26261

PCP

1790002 GUNTER, KATHY S

FAMILY PRACTICE

55 FRIENDS R FUN DR

SUMMERSVILLE, WV 26651

(304) 872-1663

PCP

0678015 HAMON, KATHY

FAMILY PRACTICE

55 FRIENDS R FUN DR

SUMMERSVILLE, WV 26651

(304) 226-5725

PCP

0613026 HENRY, BRADLEY

INTERNAL MEDICINE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-8000

PCP

1057007 HINES, JENNIFER

PEDIATRICS

400 FAIRVIEW HEIGHTS RD 302

SUMMERSVILLE, WV 26651

(304) 872-7063

PCP

1057006 MILAM, KASSANDRA J

PEDIATRICS

400 FAIRVIEW HGTS RD STE 302

SUMMERSVILLE, WV 26651

(304) 872-7063

PCP

0678004 MURPHY, JESSICA L

FAMILY PRACTICE

55 FRIENDS R FUN DR

PO BOX 524

SUMMERSVILLE, WV 26651

(304) 872-1663

PCP

0613004 OLSON, ARTHUR W

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5124

PCP

0148003 OSBORNE, CYNTHIA

FAMILY PRACTICE

46 RED OAK DR

PO BOX 946

CRAIGSVILLE, WV 26205

(304) 742-5737

PCP

1057003 SALGADO, PURIFICACION T

PEDIATRICS

PO BOX 310

400 FAIRVIEW HEIGHTS RD #302

SUMMERSVILLE, WV 26651

(304) 872-7063

PCP

1230008 SHANK, JOHN S

FAMILY PRACTICE

350 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5090

PCP

0613008 SHUMATE, JAMES

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5381

PCP

0899001 STANLEY, ROBERT C

FAMILY PRACTICE

702 PROFESSIONAL PARK DR

STE 100

SUMMERSVILLE, WV 26651

(304) 872-2991

PCP

1057005 TOMSHO, MARK M

PEDIATRICS

400 FAIRVIEW HEIGHTS RD # 302

SUMMERSVILLE, WV 26651

(304) 872-7063

PCP

- 115 -

Page 118: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

NICHOLAS COUNTY0678005 TRENBATH, RICHARD S

FAMILY PRACTICE

55 FRIENDS R FUN DR

PO BOX 524

SUMMERSVILLE, WV 26651

(304) 226-5725

PCP

1230004 WANTZ, MARGARET S

FAMILY PRACTICE

PO BOX F

350 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5090

PCP

1230005 WANTZ, MARK L

FAMILY PRACTICE

350 FAIRVIEW HGTS RD

SUMMERSVILLE, WV 26651

(304) 872-5098

PCP

0613009 WURTH, MARVIN J

INTERNAL MEDICINE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5124

PCP

0579001 BAILES, MAC

GENERAL PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

PCP

0536038 BOYCE, DANIEL L

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(828) 257-3777

PCP

0579011 DALE, JONATHAN

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5381

PCP

0579012 FAULKINER, KELBY

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

PCP

1230002 GREENBERG, SUNITA P

UNKNOWN SPECIALTY

350 FAIRVIEW HEIGHTS RD

PO BOX 1029

SUMMERSVILLE, WV 26651

(304) 872-5090

PCP

0270002 GROVES JR, LOUIS

FAMILY PRACTICE

480 HANNA ROAD

SUMMERSVILLE, WV 26651

(304) 872-4077

PCP

0678011 HICKMAN, CRYSTAL M

FAMILY PRACTICE

100 SCHOOL ST

CRAIGSVILLE, WV 26205

(304) 226-5700

PCP

0579004 OLSON, WESLEY

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-7063

PCP

0613022 RODEBAUGH, JEFFREY

FAMILY PRACTICE

74 AVENUE B

RICHWOOD, WV 26261

(304) 872-2891

PCP

0613021 RODEBAUGH, JEFFREY M

FAMILY PRACTICE

101 FLORENCE ST

ANSTED, WV 26651

PCP

- 116 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

NICHOLAS COUNTY0613023 RODEBAUGH, JEFFREY M

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5124

PCP

0613019 STEWART, ANITA

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-8000

PCP

0579013 TAYLOR, MICHAEL

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

PCP

0613020 WILLIS, BRADLEY

FAMILY PRACTICE

400 FAIRVIEW HEIGHTS RD

SUMMERSVILLE, WV 26651

(304) 872-5381

PCP

OHIO COUNTY

0533049 STERN, SHAWN

INTERNAL MEDICINE

WHEELING HOSPITAL

1 MEDICAL PARK

WHEELING, WV 26003

(304) 234-0123

PCP

0929005 ANTONELLI-GRECO, CAROL A

FAMILY PRACTICE

2115 CHAPLINE ST

SUITE 107

WHEELING, WV 26003

(304) 234-8885

PCP

0533067 ARCHBOLD, LORI L

PEDIATRICS

20 MEDICAL PARK STE 202

WHEELING, WV 26003

(304) 243-8808

PCP

1633002 BLOSSER, LAURA R

PEDIATRICS

30 MEDICAL PARK STE 202

WHEELING, WV 26003

(304) 243-1250

PCP

0405011 BROWN BROCKLEHURS, STACEY

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(800) 282-4548

PCP

0035001 COMERCI, JAMES L

FAMILY PRACTICE

7 E COVE AVE STE A

WHEELING, WV 26003

(304) 242-0771

PCP

1579001 DONZELLA, JOSEPH G

FAMILY PRACTICE

30 MEDICAL PARK

SUITE 221

WHEELING, WV 26003

(304) 233-2455

PCP

0533020 ELLIOTT, TERRY

FAMILY PRACTICE

40 MEDICAL PARK

WHEELING, WV 26003

(304) 243-3887

PCP

0533021 ENTRESS, CHERYL P

FAMILY PRACTICE

58 16TH ST

WHEELING, WV 26003

(800) 282-4548

PCP

- 117 -

Page 120: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

OHIO COUNTY0067001 FEDER, RICHARD

PEDIATRICS

1300 MARKET ST

WHEELING, WV 26003

(304) 232-6918

PCP

0533023 FORTUNATO, MICHAEL A

FAMILY PRACTICE

40 MEDICAL PARK STE 400

WHEELING, WV 26003

(304) 243-3880

PCP

0929006 FRANZ, KATHRYN A

FAMILY PRACTICE

2115 CHAPLINE ST

WHEELING, WV 26003

(304) 234-8885

PCP

0318005 GARG, SHWETA

INTERNAL MEDICINE

1 MEDICAL PARK

WHEELING, WV 26003

(802) 864-1758

PCP

1994005 GRECO, CHRISTIAN S

INTERNAL MEDICINE

2000 EOFF ST

WHEELING, WV 26003

(844) 340-2556

PCP

0929007 GRECO, RICK A

INTERNAL MEDICINE

2115 CHAPLINE STREET

SUITE 107

WHEELING, WV 26003

(304) 234-8885

PCP

0533027 HEDGES, PAUL

INTERNAL MEDICINE

58 16TH ST

WHEELING, WV 26003

PCP

0390001 HILL, LISA C

FAMILY PRACTICE

58 16TH ST

WHEELING, WV 26003

(304) 233-8788

PCP

1547001 IRVIN, RICHARD A

FAMILY PRACTICE

2129 NATIONAL RD

WHEELING, WV 26003

(304) 242-2303

PCP

0533029 JONES, LEAH J

INTERNAL MEDICINE

1 MEDICAL PARK

WHEELING, WV 26003

(304) 243-7030

PCP

0533030 JONES, LEAH J

INTERNAL MEDICINE

20 MEDICAL PARK STE 306

WHEELING, WV 26003

(304) 243-7030

PCP

0533077 KAISER, LOREN

PEDIATRICS

1 MEDICAL PARK

WHEELING, WV 26003

(304) 598-4835

PCP

0533076 LOOBY, ROBERT

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(262) 544-4442

PCP

0533031 MACAULAY, BRIAN

FAMILY PRACTICE

40 MEDICAL PARK STE 401

WHEELING, WV 26003

PCP

- 118 -

Page 121: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

OHIO COUNTY0765003 MERCER, WILLIAM C

FAMILY PRACTICE

58 16TH ST FL 3

WHEELING, WV 26003

(304) 232-9135

PCP

0533034 MILLER, LAURA M

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(800) 282-4548

PCP

0533037 MOSMAN, DAVID

PEDIATRICS

30 MEDICAL PARK STE 211

WHEELING, WV 26003

(304) 243-3000

PCP

0533063 MOSMAN, DAVID A

PEDIATRICS

1 MEDICAL PARK

WHEELING, WV 26003

(800) 282-4548

PCP

0533038 MUELLER, CYNTHIA J

FAMILY PRACTICE

58 16TH ST

WHEELING, WV 26003

(304) 234-1999

PCP

0533041 NIESS, DENNIS R

FAMILY PRACTICE

20 MEDICAL PARK STE 306

WHEELING, WV 26003

(304) 243-7030

PCP

0594001 PAPADIMITRIOU, BASIL P

FAMILY PRACTICE

103 S PENN ST

WHEELING, WV 26003

(304) 232-2100

PCP

0958001 PERRONE, VICTOR T

INTERNAL MEDICINE

58 16TH ST FL 5

WHEELING, WV 26003

(304) 233-2455

PCP

0318002 PLUVIOSE, CLAUDE M

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(866) 603-4198

PCP

0533075 PRZYSZLAK, ANDREZEJ

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(800) 282-4548

PCP

0963002 REAM, THOMAS S

FAMILY PRACTICE

1608 WARWOOD AVE

WHEELING, WV 26003

(304) 277-2922

PCP

0318004 ROBERTS, EDMOND

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(802) 864-1758

PCP

0533065 RUBEN, GEOFFREY L

PEDIATRICS

30 MEDICAL PARK STE 211

WHEELING, WV 26003

(304) 243-6301

PCP

0533062 SCHMITT, BRAD

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(304) 243-3880

PCP

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Page 122: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

OHIO COUNTY0763001 SCHMITT, THOMAS J

INTERNAL MEDICINE

1817 WARWOOD AVE

WHEELING, WV 26003

(304) 277-4405

PCP

0533048 STABB II, CHARLES H

PEDIATRICS

30 MEDICAL PARK

STE 223

WHEELING, WV 26003

(304) 243-3000

PCP

1579002 VASILAKISDONZEL, AMY A

FAMILY PRACTICE

30 MEDICAL PARK

WHEELING, WV 26003

(304) 243-7117

PCP

0995003 WACK JR, THOMAS G

FAMILY PRACTICE

616 FAIRMONT PIKE

WHEELING, WV 26003

(304) 242-3049

PCP

1633001 WANG, HSINN H

PEDIATRICS

30 MEDICAL PARK STE 202

WHEELING, WV 26003

(304) 243-1250

PCP

1559002 WETZEL-SAFFLE, SARA K

FAMILY PRACTICE

2115 CHAPLINE STREET

SUITE 302

WHEELING, WV 26003

(304) 234-8377

PCP

0404010 WILSON, MARK

PEDIATRICS

2211 EOFF ST

WHEELING, WV 26003

(304) 234-8631

PCP

0959003 WOOD, VICTOR

FAMILY PRACTICE

24 HOMESTEAD AVE

WHEELING, WV 26003

(304) 232-1020

PCP

0405009 ALTMEYER, ROBERT

INTERNAL MEDICINE

1131 NATIONAL RD

WHEELING, WV 26003

PCP

1133003 ANDERSON, CHARLA L

FAMILY PRACTICE

2115 CHAPLINE ST STE 101

VALLEY PROF CENTER

WHEELING, WV 26003

(304) 234-3400

PCP

1994006 ANDREWS ELERICK, REBECCA G

INTERNAL MEDICINE

2000 EOFF ST

WHEELING, WV 26003

(844) 340-2556

PCP

1887001 BROWN, YELATERINA

FAMILY PRACTICE

109 MOUNT WOOD RD

WHEELING, WV 26003

(804) 359-1090

PCP

1661014 BURNS, JENNIFER L

FAMILY PRACTICE

7 E COVE AVE

WHEELING, WV 26003

(304) 243-3000

PCP

0138002 EDGMON, JEREMY J

FAMILY PRACTICE

30 MEDICAL PARK STE 215

WHEELING, WV 26003

(304) 243-7154

PCP

- 120 -

Page 123: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

OHIO COUNTY1793001 ETZEL, ANDREW

INTERNAL MEDICINE

109 MOUNT WOOD RD

WHEELING, WV 26003

(304) 233-2455

PCP

1793002 ETZEL, JAMIE

INTERNAL MEDICINE

2115 CHAPLINE ST STE 104

WHEELING, WV 26003

(304) 234-0123

PCP

1661012 EVANS, CATHERINE

FAMILY PRACTICE

1079 NATIONAL RD

WHEELING, WV 26003

(304) 243-6390

PCP

0735036 FRANGOS, JENNIFER A

FAMILY PRACTICE

2000 EOFF ST

WHEELING, WV 26003

(304) 217-3500

PCP

0735037 FRANGOS, JENNIFER A

FAMILY PRACTICE

502 CABELA DR

TRIADELPHIA, WV 26059

(304) 217-3500

PCP

1661011 GEORGES, ANGELO

INTERNAL MEDICINE

1 MEDICAL PARK

WHEELING, WV 26003

(800) 282-4548

PCP

0532019 HO, JESUS

INTERNAL MEDICINE

109 MOUNT WOOD RD

WHEELING, WV 26003

(304) 845-7420

PCP

1849001 HORACEK, MARILYN W

FAMILY PRACTICE

2060 NATIONAL RD

WHEELING, WV 26003

(304) 233-2455

PCP

0673001 JELLEN, ALBERT V

FAMILY PRACTICE

2097 NATIONAL RD

WHEELING, WV 26003

(304) 242-5151

PCP

0532021 LAWRENCE, MARCIA

FAMILY PRACTICE

109 MOUNT WOOD RD

WHEELING, WV 26003

(304) 843-3379

PCP

0404009 MEJIA, MARIO

INTERNAL MEDICINE

2000 EOFF ST

WHEELING, WV 26003

(304) 234-8315

PCP

0735035 MIDCAP, DOUGLAS W

FAMILY PRACTICE

1000 NATIONAL RD

WHEELING, WV 26003

(304) 217-3520

PCP

0533073 PRZYSZLAK, KATARZYNA

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(304) 234-2004

PCP

0404005 SECO, ALFREDO

GENERAL PRACTICE

2000 EOFF ST

WHEELING, WV 26003

(740) 234-0123

PCP

- 121 -

Page 124: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

OHIO COUNTY0533072 SEE-SEBASTIAN, ESTER H

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(304) 243-3880

PCP

1661013 SOBRAY, JANICE

FAMILY PRACTICE

7 E COVE AVE

WHEELING, WV 26003

(304) 243-3000

PCP

1661016 SOKOS, MATT

FAMILY PRACTICE

58 16TH ST

WHEELING, WV 26003

(304) 243-3070

PCP

1661017 SOKOS, MATT

FAMILY PRACTICE

1 MEDICAL PARK

WHEELING, WV 26003

(304) 243-3070

PCP

0735041 SUWAID, WIJDAN D

FAMILY PRACTICE

2000 EOFF ST

WHEELING, WV 26003

(304) 234-8663

PCP

1579004 VASILAKIS-DONZELL, AMY

FAMILY PRACTICE

1315 MOUNT DE CHANTAL RD

WHEELING, WV 26003

(304) 243-7117

PCP

0735039 WEST, MAX L

FAMILY PRACTICE

502 CABELA DR

TRIADELPHIA, WV 26059

(304) 218-2034

PCP

0735040 WEST, MAX L

FAMILY PRACTICE

2000 EOFF ST

WHEELING, WV 26003

(304) 218-2034

PCP

1347001 WILSON, DANIEL W

FAMILY PRACTICE

7 E COVE AVE STE B

WHEELING, WV 26003

(304) 242-4601

PCP

1882001 WILSON, TIMOTHY J

INTERNAL MEDICINE

1132 NATIONAL RD

WHEELING, WV 26003

(304) 242-1032

PCP

1850001 WOOD, MATHEW

FAMILY PRACTICE

2108 LUMBER AVE

WHEELING, WV 26003

(304) 780-6958

PCP

PENDLETON COUNTY0341011 NULPH, LAURA L

FAMILY PRACTICE

82 PINE ST

FRANKLIN, WV 26807

(304) 358-2355

PCP

0341012 REXRODE, CARMEN R

FAMILY PRACTICE

314 PINE ST

FRANKLIN, WV 26807

(304) 758-2355

PCP

- 122 -

Page 125: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PENDLETON COUNTY0341016 REXRODE, CARMEN R

FAMILY PRACTICE

312 NORTH MAIN

FRANKLIN, WV 26807

(304) 358-2355

PCP

0341003 SEEGAR, JOHN K

PEDIATRICS

189 PRICE WAY

CIRCLEVILLE, WV 26804

(304) 358-2355

PCP

0341004 SEEGAR, JOHN K

PEDIATRICS

PO BOX 100

314 PINE STREET

FRANKLIN, WV 26807

(304) 358-2355

PCP

0341005 SEEGAR, JOHN K

PEDIATRICS

16921 MOUNTAINEER DR

PO BOX 101

RIVERTON, WV 26814

(304) 567-2101

PCP

0341009 SEEGAR, JOHN K

PEDIATRICS

PENDLETON CO HIGH SCHOOL

409 MAPLE AVENUE

FRANKLIN, WV 26807

(304) 358-2355

PCP

0341015 SEEGAR, JOHN K

PEDIATRICS

82 PINE STREET

FRANKLIN, WV 26807

(304) 358-2355

PCP

PLEASANTS COUNTY1205036 BARTON, JASON

FAMILY PRACTICE

201 LAFAYETTE ST

SAINT MARYS, WV 26170

(304) 485-4439

PCP

0809001 DEJOSEF, TERESITA

INTERNAL MEDICINE

111 LAFAYETTE ST STE 201

PO BOX 422

SAINT MARYS, WV 26170

(304) 684-2240

PCP

1643002 HEAVNER, ROBERT R

FAMILY PRACTICE

201 LAFAYETTE ST

SAINT MARYS, WV 26170

(304) 485-4439

PCP

1058016 HORACEK, MARILYN

FAMILY PRACTICE

2330 N PLEASANTS HWY

SAINT MARYS, WV 26170

(304) 643-4005

PCP

1058008 DUNAVANT, KELLY W

FAMILY PRACTICE

1002 2ND ST

SAINT MARYS, WV 26170

(304) 643-4005

PCP

POCAHONTAS COUNTY1675001 COMMUNITY CARE OF GREEN BANK

MULTISPECIALTY GROUP

4498 POTOMAC HIGHLANDS TRAIL

GREEN BANK, WV 24944

(304) 456-5115

Accepting New Patients: Yes

CCP

- 123 -

Page 126: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

POCAHONTAS COUNTY1901001 COMMUNITY CARE OF HILLSBORO

MULTISPECIALTY GROUP

7576 SENECA TRAIL

HILLSBORO, WV 24946

(304) 924-6262

CCP

1673002 COMMUNITY CARE OF MARLINTON

MULTISPECIALTY GROUP

821 3RD AVE

MARLINTON, WV 24954

(304) 799-4404

CCP

1948001 COMMUNITY DENT CARE OF GREEN B

MULTISPECIALTY GROUP

6404 POTOMAC HIGHLAND TRAIL

GREEN BANK, WV 24944

(304) 456-5433

CCP

1915001 GREEN BANK ELEMENTARY-MIDDLE

SCHOOL BASED HEALTH CENTER

5917 POTOMAC HIGHLANDS TRL

GREEN BANK, WV 24944

(304) 456-4865

CCP

1916001 MARLINTON ELEMENTARY SCHOOL

SCHOOL BASED HEALTH CENTER

926 5TH AVE STE A

MARLINTON, WV 24954

(304) 799-6551

CCP

1935001 MARLINTON MIDDLE SCHOOL WELLNE

SCHOOL BASED HEALTH CENTER

RR 2 BOX 52 S

MARLINTON, WV 24954

(304) 799-6773

CCP

1917001 POCAHONTAS CO HIGH SCHOOL WELL

SCHOOL BASED HEALTH CENTER

271 WARRIOR WAY

DUNMORE, WV 24934

(304) 799-6565

CCP

1782001 POCAHONTAS MEMORIAL HOSP RHC

MULTISPECIALTY GROUP

150 DUNCAN RD

BUCKEYE, WV 24924

(304) 799-6200

Accepting New Patients: Yes

CCP

0682006 BROWNING, PATRICIA

FAMILY PRACTICE

PO BOX 470

RT 219 NORTH

HILLSBORO, WV 24946

(304) 536-5030

PCP

0682003 BROWNING, WILLIAM D

FAMILY PRACTICE

RT 219 NORTH

PO BOX 470

HILLSBORO, WV 24946

(304) 653-4209

PCP

0513008 BROWNING JR, WILLIAM M

FAMILY PRACTICE

RT 219

PO BOX 470

HILLSBORO, WV 24946

(304) 653-4209

PCP

0471001 EILERS, JOHN W

FAMILY PRACTICE

431 CASS RD

SLATYFORK, WV 26291

(304) 572-4410

PCP

0781002 SHARP, JOHN C

FAMILY PRACTICE

105 DUNCAN RD

MARLINTON, WV 24954

(304) 799-4645

PCP

0781003 SHARP, JOHN C

FAMILY PRACTICE

RT 92

GREEN BANK, WV 24944

(304) 456-4211

PCP

- 124 -

Page 127: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

POCAHONTAS COUNTY0774001 SORIANO, LUIS E

FAMILY PRACTICE

57 DUNCAN RD

BUCKEYE, WV 24924

(304) 799-6695

PCP

PRESTON COUNTY

1762002 BURKE, PAUL W

FAMILY PRACTICE

17548 VETERANS MEMORIAL HWY

KINGWOOD, WV 26537

(304) 441-2001

PCP

0116001 FORMAN, BONNIE J

FAMILY PRACTICE

301 S PRICE ST

KINGWOOD, WV 26537

(304) 329-6963

PCP

0879009 FOY, ANDREW

FAMILY PRACTICE

2604 GRANGE HALL ROAD

PO BOX 8

EGLON, WV 26716

(304) 735-3155

PCP

0879033 GAINER, MARY C

FAMILY PRACTICE

2060 N MOUNTAINEER HWY

NEWBURG, WV 26410

(304) 892-2812

PCP

0879035 GAINER, MARY C

FAMILY PRACTICE

1 RENAISSANCE SQUARE

ROWLESBURG, WV 26425

(304) 454-2421

PCP

1146003 HARNED, MAX

FAMILY PRACTICE

10 MEMORIAL DR

PO BOX 110

BRUCETON MILLS, WV 26525

(304) 379-8100

PCP

0345013 HUMPHREY, JENNIFER

PEDIATRICS

300 S PRICE ST

KINGWOOD, WV 26537

PCP

0729003 LEWIS, ROGER A

FAMILY PRACTICE

603 B W STATE AVE

TERRA ALTA, WV 26764

(304) 789-2457

PCP

1898002 MAYS, ALBERT G

FAMILY PRACTICE

658 BURKE RD

MASONTOWN, WV 26542

(304) 864-4362

PCP

1898001 MAYS, VICKEY L

FAMILY PRACTICE

658 BURKE RD

MASONTOWN, WV 26542

(304) 864-4362

PCP

0345018 MCNAIR, JASON

FAMILY PRACTICE

240 ARMY ROAD

KINGWOOD, WV 26537

(304) 329-2830

PCP

0345019 MCNAIR, JASON

FAMILY PRACTICE

150 MEMORIAL DR

KINGWOOD, WV 26537

(304) 329-2830

PCP

- 125 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PRESTON COUNTY0116011 MISENHELDER, JASON A

FAMILY PRACTICE

301 S PRICE ST

KINGWOOD, WV 26537

(304) 329-6963

PCP

0116010 NICHOLS, NANCY L

INTERNAL MEDICINE

301 S PRICE ST

KINGWOOD, WV 26537

(304) 329-6963

PCP

0075001 PARSONS, MICHAEL J

FAMILY PRACTICE

411 MORGANTOWN ST

KINGWOOD, WV 26537

(304) 329-0555

PCP

1198002 RAMBERG, JULIA

FAMILY PRACTICE

428 MORGANTOWN ST

KINGWOOD, WV 26537

(304) 329-0256

PCP

0962001 SCHWARZENBERG, BERNICE A

PEDIATRICS

110 N PRICE ST

KINGWOOD, WV 26537

(304) 329-3500

PCP

0962002 SCHWARZENBERG, MICHAEL R

FAMILY PRACTICE

110 N PRICE ST

KINGWOOD, WV 26537

(304) 329-1927

PCP

1198001 SHETTY, RAM M

FAMILY PRACTICE

428 MORGANTOWN ST

KINGWOOD, WV 26537

(304) 329-0256

PCP

2030002 SHOE, KATELYN M

FAMILY PRACTICE

31452 VETERANS MEMORIAL HWY

TERRA ALTA, WV 26764

(301) 501-5107

PCP

1762001 SMYTH, DENISE

FAMILY PRACTICE

1343 N PRESTON HWY

KINGWOOD, WV 26537

(304) 441-2001

PCP

1762003 STALEY, LEE

FAMILY PRACTICE

17548 VETERANS MEMORIAL HWY

KINGWOOD, WV 26537

PCP

0116006 STOCKETT, CHERYL L

FAMILY PRACTICE

RR 1 BOX 147MD

THORNTON, WV 26440

(304) 265-6963

PCP

1977001 WITKOWSKI, MARK

FAMILY PRACTICE

411 MORGANTOWN ST

KINGWOOD, WV 26537

(304) 329-0555

PCP

0116008 WOLFE, LORN A

FAMILY PRACTICE

RR 1 BOX 147MD

THORNTON, WV 26440

(304) 265-6963

PCP

0116009 WOLFE, LORN A

FAMILY PRACTICE

301 S PRICE ST

KINGWOOD, WV 26537

(304) 265-6963

PCP

- 126 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PRESTON COUNTY0345017 CONLEY, FREDERICK

FAMILY PRACTICE

731 PRESTON DR

KINGWOOD, WV 26537

(304) 329-1400

PCP

0879037 COUGHLIN, ROBERT M

FAMILY PRACTICE

PO BOX 8

EGLON, WV 26716

(304) 735-3155

PCP

1008024 HOLLAND, MARISA

FAMILY PRACTICE

300 S PRICE ST

KINGWOOD, WV 26537

(304) 791-3734

PCP

PUTNAM COUNTY1965001 HARVEY FAMILY MEDICINE PLLC

MULTISPECIALTY GROUP

35 CHASE DR

HURRICANE, WV 25526

(304) 397-4060

Accepting New Patients: Yes

CCP

2064001 MARSHALL FAMILY MEDICINE-TEAYS

MULTISPECIALTY GROUP

3952 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 757-6736

Accepting New Patients: Yes

CCP

2054001 UNIVERSITY PHYSICIANS & SURGEO

MULTISPECIALTY GROUP

300 CORPORATE CENTER DRIVE

SCOTT DEPOT, WV 25560

(304) 691-6800

Accepting New Patients: Yes

CCP

1666002 FAMILYCARE-ELEANOR

MULTISPECIALTY GROUP

503 ROSEVELT BLVD

ELEANOR, WV 25070

(304) 586-0001

Accepting New Patients: Yes

CCP

1727001 FAMILYCARE-TEAYS VALLEY

MULTISPECIALTY GROUP

97 GREAT TEAYS BLVD STE 6

SCOTT DEPOT, WV 25560

(304) 757-6999

Accepting New Patients: Yes

CCP

1738001 INTERNAL MEDICINE OF PUTNAM

MULTISPECIALTY GROUP

1401 HOSPITAL DR STE 101

HURRICANE, WV 25526

(304) 757-6891

Accepting New Patients: Yes

CCP

1743001 PEDIATRICS OF TEAYS VALLEY

MULTISPECIALTY GROUP

179 STATION PLACE WAY STE 200

HURRICANE, WV 25526

(304) 691-8870

Accepting New Patients: Yes

CCP

1761001 VALLEY HEALTH POCA HIGH SCHOOL

MULTISPECIALTY GROUP

5 B RR2

POCA, WV 25159

(304) 204-0048

CCP

1690001 VALLEY HEALTH SYSTEMS HURRICAN

MULTISPECIALTY GROUP

3729 TEAYS VALLEY RD STE 100

HURRICANE, WV 25526

(304) 760-6040

CCP

1893001 VALLEY HEALTH TEAYS VALLEY

MULTISPECIALTY GROUP

1100 HOSPITAL DR

HURRICANE, WV 25526

(304) 757-8683

CCP

- 127 -

Page 130: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PUTNAM COUNTY1760001 VALLEY HLTH LAKESIDE ELEMENTAR

MULTISPECIALTY GROUP

22550 US ROUTE 60

HURRICANE, WV 25526

(304) 562-3630

CCP

1665001 WOMENCARE WOMEN S HEALTH & BIR

MULTISPECIALTY GROUP

3911 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 757-6999

Accepting New Patients: Yes

CCP

1290002 AKINS, JAMES A

INTERNAL MEDICINE

111 GREAT TEAYS BLVD

SCOTT DEPOT, WV 25560

(304) 757-1907

PCP

0589127 BOWMAN, CHRISTOPHER

INTERNAL MEDICINE

1400 HOSPITAL DR

HURRICANE, WV 25526

(304) 388-7530

PCP

1256226 CAMPBELL, JAMES R

INTERNAL MEDICINE

1400 HOSPITAL DR

HURRICANE, WV 25526

(304) 388-7100

PCP

0589144 CICENAS, RYAN

INTERNAL MEDICINE

1204 HOSPITAL DR

HURRICANE, WV 25526

(304) 388-7530

PCP

1215001 DICRISTOFARO, SEAN C

FAMILY PRACTICE

104 STATION PLACE WAY

HURRICANE, WV 25526

(304) 757-7788

PCP

1200001 HARRAH, GREGORY S

FAMILY PRACTICE

3857 TEAYS VALLEY RD STE 1

HURRICANE, WV 25526

(304) 767-7092

PCP

0211001 HENSON, SAMUEL L

FAMILY PRACTICE

3417 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 562-9039

PCP

1212001 HOLMES, DONALD E

GENERAL PRACTICE

3761 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 760-1180

PCP

0108011 JONES, ERIC C

PEDIATRICS

3751 TEAYS VALLEY RD STE B

HURRICANE, WV 25526

(304) 982-7031

PCP

0108013 KAPOURALES, SUSANNA A

PEDIATRICS

3751 TEAYS VALLEY RD STE B

HURRICANE, WV 25526

(304) 982-7031

PCP

0589141 KURYLA, PAUL

FAMILY PRACTICE

3703 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 388-7530

PCP

1173006 LAMBERNEDIS, ANN M

PEDIATRICS

111 GREAT TEAYS BLVD

SCOTT DEPOT, WV 25560

(304) 757-8803

PCP

- 128 -

Page 131: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PUTNAM COUNTY1746004 LIFE, DAVID M

FAMILY PRACTICE

147 WILLOW TREE WAY

HURRICANE, WV 25526

(888) 603-6276

PCP

0745002 MOLANO, WILFREDO N

FAMILY PRACTICE

2733 MAIN ST

HURRICANE, WV 25526

(304) 562-3331

PCP

0728001 MURPHY, KEVIN A

FAMILY PRACTICE

165 MAIN ST

POCA, WV 25159

(304) 755-0156

PCP

0591008 NEVILLE, JOHN W

FAMILY PRACTICE

3752 TEAYS VALLEY RD STE D

HURRICANE, WV 25526

(304) 768-8811

PCP

0819003 PETERSON, RANDALL W

FAMILY PRACTICE

3952 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 757-6736

PCP

1327005 RUBIN, ARTHUR

PEDIATRICS

11878 WINFIELD RD

WINFIELD, WV 25213

(304) 348-0700

PCP

1795002 SMITH, JASON P

FAMILY PRACTICE

3755 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 562-1800

PCP

0810001 STA ANA JR, ENRIQUE C

FAMILY PRACTICE

1100 HOSPITAL DR

HURRICANE, WV 25526

(304) 757-8681

PCP

1173007 STALLO, PAMELA S

PEDIATRICS

111 GREAT TEAYS BLVD STE 101

SCOTT DEPOT, WV 25560

(304) 757-8803

PCP

0108012 STICKLER, ALATHEIA F

PEDIATRICS

3751 TEAYS VALLEY RD STE B

HURRICANE, WV 25526

(304) 982-7031

PCP

0591022 TRUMP, JEFFREY S

FAMILY PRACTICE

3752 TEAYS VALLEY RD STE 1

HURRICANE, WV 25526

(304) 768-8811

PCP

0589129 WESTFALL, CHRISTINE

INTERNAL MEDICINE

1208 HOSPITAL DR

HURRICANE, WV 25526

(304) 388-7530

PCP

1828040 WHITE, JONATHAN

FAMILY PRACTICE

11924 WINFIELD RD

WINFIELD, WV 25213

(304) 414-4800

PCP

0108009 WHITE, KARA M

PEDIATRICS

3751 TEAYS VALLEY RD STE B

HURRICANE, WV 25526

(304) 982-7031

PCP

- 129 -

Page 132: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PUTNAM COUNTY0108010 WINNINGS, MELANIE A

PEDIATRICS

3751 TEAYS VALLEY RD STE B

HURRICANE, WV 25526

(304) 982-7031

PCP

1795001 YEAGER, ANITA

FAMILY PRACTICE

3755 TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 562-1800

PCP

0589137 YEAGER-SMITH, ANITA

FAMILY PRACTICE

1400 HOSPITAL DR

HURRICANE, WV 25526

(304) 388-7530

PCP

1848002 ABDUL-JALIL, MAJESTER

INTERNAL MEDICINE

127 JAMIE LANE

ELEANOR, WV 25070

(304) 767-7841

PCP

0591019 BOWMAN, CHRISTOPHER E

INTERNAL MEDICINE

3752 TEAYS VALLEY RD STE 1

HURRICANE, WV 25526

(304) 768-8811

PCP

1837001 CLARK, JOHN M

INTERNAL MEDICINE

3860 TEAYS VALLEY RD STE 4

HURRICANE, WV 25526

(304) 201-2545

PCP

1824001 CLARKE, GREGORY

INTERNAL MEDICINE

1400 HOSPITAL DR

HURRICANE, WV 25526

PCP

1824002 DILLARD, MORRIS

FAMILY PRACTICE

1400 HOSPITAL DR

HURRICANE, WV 25526

(866) 445-7812

PCP

1817001 FAMULARCANO, EARL MICHAEL R

FAMILY PRACTICE

1401 HOSPITAL DR STE 306

HURRICANE, WV 25526

(304) 397-5744

PCP

1817002 FAMULARCANO, LEA GRACE R

FAMILY PRACTICE

1401 HOSPITAL DR STE 306

HURRICANE, WV 25526

(304) 397-5744

PCP

2080002 HOLMES, JEFFREY

INTERNAL MEDICINE

590 POPLAR FORK RD

HURRICANE, WV 25526

(866) 282-7905

PCP

0591020 HOLMES, JEFFREY S

INTERNAL MEDICINE

3752 TEAYS VALLEY RD STE 1

HURRICANE, WV 25526

(304) 768-8811

PCP

0813001 HOUDERSHELDT, RICK L

INTERNAL MEDICINE

3705 TEAYS VALLEY RD STE 202

HURRICANE, WV 25526

(304) 757-6990

PCP

1848003 KALOU, MOHAMAD S

FAMILY PRACTICE

113 LIBERTY SQ

HURRICANE, WV 25526

(304) 767-7840

PCP

- 130 -

Page 133: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

PUTNAM COUNTY1855001 LARES, NANCY

FAMILY PRACTICE

1400 HOSPITAL DR

HURRICANE, WV 25526

(304) 760-0989

PCP

1820001 MCCOY, EMERY B

INTERNAL MEDICINE

3761A TEAYS VALLEY RD

HURRICANE, WV 25526

(304) 760-8721

PCP

1746018 WEBB, CHRISTINA D

FAMILY PRACTICE

147 WILLOW TREE WAY

HURRICANE, WV 25526

PCP

RALEIGH COUNTY2048001 ACCESSHEALTH BILL BAKER WAY

MULTISPECIALTY GROUP

202 BILL BAKER WAY

BECKLEY, WV 25801

(304) 461-1110

Accepting New Patients: Yes

CCP

2043001 ACCESSHEALTH DANIELS

MULTISPECIALTY GROUP

2157 RITTER DR

DANIELS, WV 25832

(304) 763-4326

Accepting New Patients: Yes

CCP

2042001 ACCESSHEALTH GLEN DANIEL

MULTISPECIALTY GROUP

7127 HARPER ROAD

GLEN DANIEL, WV 25844

(304) 934-4000

Accepting New Patients: Yes

CCP

2046001 ACCESSHEALTH MABSCOTT

MULTISPECIALTY GROUP

200 RALEIGH AVE

BECKLEY, WV 25801

(304) 252-8541

Accepting New Patients: Yes

CCP

2040001 ACCESSHEALTH RURAL ACRES

MULTISPECIALTY GROUP

252 RURAL ACRES DR

BECKLEY, WV 25801

(304) 252-8555

Accepting New Patients: Yes

CCP

2045001 ACCESSHEALTH STANAFORD

MULTISPECIALTY GROUP

201 WOODCREST DR

BECKLEY, WV 25801

(304) 250-0272

Accepting New Patients: Yes

CCP

2044001 ASSOCIATES IN WOMENS HEALTH

MULTISPECIALTY GROUP

410 CARRIAGE DR

BECKLEY, WV 25801

(304) 255-1541

Accepting New Patients: Yes

CCP

1715001 GULF FAMILY PRACTICE

MULTISPECIALTY GROUP

410 W MAIN ST

SOPHIA, WV 25921

(304) 683-4304

Accepting New Patients: Yes

CCP

1716001 GULF FAMILY PRACTICE II

MULTISPECIALTY GROUP

302 W MAIN ST

SOPHIA, WV 25921

(304) 683-4304

Accepting New Patients: Yes

CCP

1719001 NEW RIVER HEALTH INDEPENDENCE

MULTISPECIALTY GROUP

850 INDEPENDENCE ROAD

COAL CITY, WV 25823

(304) 683-6905

Accepting New Patients: Yes

CCP

- 131 -

Page 134: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY1720001 NEW RIVER HEALTH MOUNT HOPE

MULTISPECIALTY GROUP

204 S MOUNTAIN AVE

MOUNT HOPE, WV 25880

(304) 877-9133

Accepting New Patients: Yes

CCP

0517001 AKSOY, YASAR

UNKNOWN SPECIALTY

PO BOX 564

103 BECKLEY PLAZA MALL

SKELTON, WV 25919

(304) 255-7600

PCP

1908001 AMJAD, QUARTEL A

INTERNAL MEDICINE

250 STANAFORD RD

BECKLEY, WV 25801

(304) 642-4890

PCP

0122001 ASHIR, M A

PEDIATRICS

PO BOX 963

BECKLEY, WV 25802

(304) 255-2000

PCP

0545003 BHAVSAR, SHASHIKANT

FAMILY PRACTICE

37456 COAL RIVER RD

WHITESVILLE, WV 25209

(304) 854-1323

PCP

0070001 CHAPMAN, MELISSA A

FAMILY PRACTICE

MIDDLE CROSS FAMILY MEDICAL

1804 HARPER RD STE A

BECKLEY, WV 25801

(304) 929-7677

PCP

0070003 CHAPMAN, MELISSA A

FAMILY PRACTICE

102 RESERVATION AVE

BECKLEY, WV 25801

(303) 344-0320

PCP

0973003 CHATTHA, ASHRAF A

INTERNAL MEDICINE

379 STANAFORD RD

BECKLEY, WV 25801

(304) 253-3000

PCP

0649001 DABABNAH, MOUSA

FAMILY PRACTICE

856 RITTER DR

BEAVER, WV 25813

(304) 769-0933

PCP

0207001 DANIEL JR, DOFF D

INTERNAL MEDICINE

125 MAIN ST STE 301

BECKLEY, WV 25801

(304) 253-3550

PCP

1907001 FERNALD, JOHN P

PEDIATRICS

354 COMMERCE DR

BEAVER, WV 25813

(304) 250-0150

PCP

1955001 FERNALD, JOHN P

PEDIATRICS

1710 HARPER RD

BECKLEY, WV 25801

(702) 952-6276

PCP

2009001 GAUTIER, KELLIE F

FAMILY NURSE PRACTITIONER

409 N KANAWHA ST

BECKLEY, WV 25801

(304) 252-0200

PCP

1402004 GORDINHO, J JORGE A

INTERNAL MEDICINE

264 COAL RIVER RD

GLEN DANIEL, WV 25844

(719) 277-7545

PCP

- 132 -

Page 135: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY0514005 GORDINHO, JOSE J

NEPHROLOGY

310 GEORGE ST

BECKLEY, WV 25801

(304) 254-9022

PCP

0360005 GREY, ELEONORA I

FAMILY PRACTICE

306 STANAFORD RD

BECKLEY, WV 25801

(304) 253-5690

PCP

1704001 GUY, RHONDA

FAMILY PRACTICE

425 STANAFORD RD

BECKLEY, WV 25801

(304) 255-2878

PCP

1576001 HARVEY II, HAROLD E

INTERNAL MEDICINE

214 PROFESSIONAL PARK

BECKLEY, WV 25801

(304) 252-5343

PCP

0012002 JAFARY, HASSAN A

UNKNOWN SPECIALTY

451 STANAFORD RD

BECKLEY, WV 25801

(304) 256-8227

PCP

1344004 JOHNSON, JOHN H

PEDIATRICS

30 MALLARD CT

BECKLEY, WV 25801

(304) 603-6276

PCP

0561001 JOSE, REYNALDO D

FAMILY PRACTICE

1602 HARPER RD

BECKLEY, WV 25801

(304) 252-8531

PCP

1225001 KHIAMI, AHMAD A

PEDIATRICS

110 PROFESSIONAL PARK

BECKLEY, WV 25801

PCP

1973001 LOVE, B S

FAMILY PRACTICE

2302 S FAYETTE ST UNIT 2

BECKLEY, WV 25801

(304) 964-9098

PCP

1799004 LOVE, BRIAN S

FAMILY PRACTICE

2302 UNIT A SOUTH FAYETTE ST

BECKLEY, WV 25801

(304) 253-9355

PCP

1556001 LUCERO, CARLOS E

FAMILY PRACTICE

403 CARRIAGE DR

BECKLEY, WV 25801

(304) 255-7456

PCP

0536048 MATHIS, DEBORAH L

FAMILY PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3777

PCP

1560002 MCCLINTIC, ALEX

FAMILY PRACTICE

1804 HARPER RD STE A

BECKLEY, WV 25801

(719) 277-7545

PCP

1560001 MCCLINTIC, ANDREA A

PEDIATRICS

1804 HARPER RD STE A

BECKLEY, WV 25801

(719) 277-7545

PCP

- 133 -

Page 136: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY0513046 MCKELVEY, MARY

UNKNOWN SPECIALTY

1196 AIRPORT RD

BEAVER, WV 25813

(508) 836-3663

PCP

1996001 MENON, SURESH K

DERMATOLOGY

1000 TAVERN RD STE 400

BECKLEY, WV 25801

(304) 929-2350

PCP

1396001 MOHAN, PETAIAH

PEDIATRICS

194 CARRIAGE DR

BECKLEY, WV 25801

(304) 255-6051

PCP

0436003 MOHAN, SARASWATHI

PEDIATRICS

194 CARRIAGE DR

BECKLEY, WV 25801

(304) 255-6051

PCP

1909002 MORRELLO, JOSPEH W

INTERNAL MEDICINE

321 DRY HILL RD

BECKLEY, WV 25801

(304) 250-0142

PCP

0545013 MOUSATTAT, ALAA

INTERNAL MEDICINE

37456 COAL RIVER RD

PO BOX 187

WHITESVILLE, WV 25209

(304) 949-4496

PCP

0482057 NAZER, EYAD H

INTERNAL MEDICINE

306 STANAFORD RD

BECKLEY, WV 25801

(866) 908-2299

PCP

0377001 OAR, PAUL A

FAMILY PRACTICE

1007 S OAKWOOD AVE

BECKLEY, WV 25801

(304) 250-0004

PCP

1220001 PATEL, NARENDRA M

INTERNAL MEDICINE

703 RITTER DR

PO BOX 550

BEAVER, WV 25813

(304) 255-1300

PCP

0920005 PITSENBARGER, KELLY M

FAMILY PRACTICE

126 CARPENTER ST

SHADY SPRING, WV 25918

(304) 255-2426

PCP

1904001 POLAND, FRANK P

UNKNOWN SPECIALTY

1468 RITTER DR

DANIELS, WV 25832

(304) 253-3860

PCP

0985003 POLING, GARY

FAMILY PRACTICE

25 MALLARD CT

BECKLEY, WV 25801

(304) 255-2527

PCP

0536054 POULS, AFAF

FAMILY PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3777

PCP

0012004 POWERS, WILLIAM R

INTERNAL MEDICINE

451 STANAFORD RD

BECKLEY, WV 25801

(304) 256-8227

PCP

- 134 -

Page 137: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY0221001 POWERS, WILLIAM R

INTERNAL MEDICINE

316 TIMBER RIDGE DR

BECKLEY, WV 25801

(304) 763-0352

PCP

0221002 POWERS, WILLIAM R

INTERNAL MEDICINE

306 STANAFORD RD

BECKLEY, WV 25801

(304) 763-0352

PCP

1854002 RAHIM, MUSTAFA

INTERNAL MEDICINE

1710 HARPER RD

BECKLEY, WV 25801

(304) 256-6500

PCP

1854001 RAHIM, MUSTAFA M

INTERNAL MEDICINE

306 STANAFORD RD

BECKLEY, WV 25801

(304) 256-6500

PCP

0536047 RIOFRIO, ALEXIE D

INTERNAL MEDICINE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3777

PCP

0692001 ROBERTS, JOANNA M

INTERNAL MEDICINE

PO BOX 158

RHODELL, WV 25915

(304) 683-4318

PCP

0001001 SIMMS, RALPH E

FAMILY PRACTICE

PO BOX 100

GLEN DANIEL, WV 25844

(304) 934-6400

PCP

1119003 SOLARI, TEDDY W

PEDIATRICS

230 GEORGE ST STE 4

BECKLEY, WV 25801

(304) 252-9227

PCP

1909003 STAFFORD, BRYAN

FAMILY PRACTICE

PO BOX 5387

BECKLEY, WV 25801

(304) 250-0142

PCP

1636001 STATON, MICHELE D

PEDIATRICS

2401 S KANAWHA ST STE 110 A

BECKLEY, WV 25801

(304) 929-4646

PCP

0631002 THOMAS, SURESH

INTERNAL MEDICINE

1710 HARPER RD

BECKLEY, WV 25801

(304) 255-4812

PCP

0561003 VILLANUEVA, EMMA C

GENERAL PRACTICE

1602 HARPER RD

BECKLEY, WV 25801

(304) 252-8531

PCP

0545012 WALSH, JOSEPH A

GENERAL PRACTICE

37456 COAL RIVER RD

WHITESVILLE, WV 25209

(304) 854-1321

PCP

0973010 WISMAN, RICHARD C

FAMILY PRACTICE

379 STANAFORD RD

BECKLEY, WV 25801

(304) 253-3000

PCP

- 135 -

Page 138: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY0714001 YEE, ROBERT C

FAMILY PRACTICE

405 CARRIAGE DR

BECKLEY, WV 25801

(304) 252-1320

PCP

1220010 ZINZUWADIA, BELLA N

INTERNAL MEDICINE

703 RITTER DR

BEAVER, WV 25813

(304) 255-1300

PCP

0699003 AMJAD, HASSAN

INTERNAL MEDICINE

32 HUMMINGBIRD LN

BECKLEY, WV 25801

(304) 252-1500

PCP

0536045 ANAND, SEEMA

INTERNAL MEDICINE

200 VETERANS AVE

BECKLEY, WV 25801

PCP

0536041 BLAKE, JILL

FAMILY PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(304) 255-5710

PCP

0536037 BOYCE, DANIEL L

FAMILY PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3777

PCP

1865001 BRADLEY, RICKEY L

DERMATOLOGY

4130 ROBERT C BYRD DR

BECKLEY, WV 25801

(304) 252-3900

PCP

0482045 CHHABRA, AMARINDER

FAMILY PRACTICE

306 STANAFORD RD

BECKLEY, WV 25801

(304) 466-2944

PCP

0536042 FOGATA, MARIA

GERIATRICS

200 VETERANS AVE

BECKLEY, WV 25801

(800) 290-9438

PCP

0776004 GOLDEN, JOSEPH I

FAMILY PRACTICE

PO BOX 1304

SOPHIA, WV 25921

(304) 683-4304

PCP

1827003 HASAN, SURAYIA T

INTERNAL MEDICINE

224 PROFESSIONAL PARK

BECKLEY, WV 25801

(304) 255-9444

PCP

1059008 HONRADO, CORDELL

INTERNAL MEDICINE

1710 HARPER RD

RALEIGH GENERAL HOSPITAL

BECKLEY, WV 25801

(888) 952-6772

PCP

1059007 HONRADO, CORDELL R

GENERAL PRACTICE

1 PAVILION DR

DANIELS, WV 25832

(304) 763-4253

PCP

1059032 JARRELL, RODNEY

INTERNAL MEDICINE

1710 HARPER RD

BECKLEY, WV 25801

(304) 253-1143

PCP

- 136 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY1883001 KABBARA, WADIH M

INTERNAL MEDICINE

250 STANAFORD RD

BECKLEY, WV 25801

(304) 253-2225

PCP

0536014 LEE, JUNG

GENERAL PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 298-7911

PCP

1263003 LOSTETTER, SCOTT C

FAMILY PRACTICE

27 MALLARD CT

BECKLEY, WV 25801

(304) 255-2512

PCP

1799001 LOVE, BRIAN S

FAMILY PRACTICE

3157 ROBERT C BYRD DR

BECKLEY, WV 25801

(304) 253-9355

PCP

0536044 MAKHNI, PARVEEN B

INTERNAL MEDICINE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3449

PCP

1799002 MCKELVEY, MARY E

INTERNAL MEDICINE

3157 ROBERT C BYRD DR

BECKLEY, WV 25801

(304) 253-9355

PCP

1869001 MOAWAD, SAMEH

FAMILY PRACTICE

1902 HARPER RD STE A

BECKLEY, WV 25801

(304) 250-0417

PCP

1826001 NGUYEN, HUY B

FAMILY PRACTICE

306 STANAFORD RD

BECKLEY, WV 25801

PCP

1220012 PATEL, NARENDRA

INTERNAL MEDICINE

PO BOX 550

BEAVER, WV 25813

PCP

0536046 PATEL, SHASHIKANT

GENERAL PRACTICE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 298-7911

PCP

0920004 PITSENBARGER, KELLY

FAMILY PRACTICE

314 GEORGE ST

BECKLEY, WV 25801

(304) 255-2426

PCP

1799003 PRIDDY, MYRA D

FAMILY PRACTICE

3157 ROBERT C BYRD DR

BECKLEY, WV 25801

(304) 253-9355

PCP

1059027 TARAKJI, HOSSAM

INTERNAL MEDICINE

1710 HARPER RD

BECKLEY, WV 25801

(304) 757-1700

PCP

0536039 TAWFIK, HANY

INTERNAL MEDICINE

200 VETERANS AVE

BECKLEY, WV 25801

(828) 257-3772

PCP

- 137 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RALEIGH COUNTY1826003 TEKA, SAMSON

INTERNAL MEDICINE

306 STANAFORD RD

BECKLEY, WV 25801

PCP

1877001 THOMAS, SURESH

INTERNAL MEDICINE

179 WOODLAND DR

BECKLEY, WV 25801

(304) 255-1002

PCP

0758003 VILLANUEVA, MANUEL B

FAMILY PRACTICE

6070 ROBERT C BIRD DR

BRADLEY, WV 25818

PCP

1827002 WASYLK, IRENE M

INTERNAL MEDICINE

224 PROFESSIONAL PARK

BECKLEY, WV 25801

(304) 255-9444

PCP

1827001 WASYLYK, IRENE M

INTERNAL MEDICINE

306 STANAFORD RD

BECKLEY, WV 25801

(615) 255-9444

PCP

1867001 ZAFAR DO, SAAD

INTERNAL MEDICINE

306 STANAFORD ROAD

BECKLEY, WV 25801

(304) 786-9036

PCP

RANDOLPH COUNTY2166001 DIRECT CARE OF ELKINS

MULTISPECIALTY GROUP

720 BEVERLY PIKE

ELKINS, WV 26241

(304) 636-4585

Accepting New Patients: Yes

CCP

2175001 DMC CLINICS

MULTISPECIALTY GROUP

812 GORMAN AVE

ELKINS, WV 26241

(304) 636-3300

Accepting New Patients: Yes

CCP

2179001 VALLEY HEALTH CARE

MULTISPECIALTY GROUP

1 POLING ST

MILL CREEK, WV 26280

(304) 335-2050

Accepting New Patients: Yes

CCP

1226001 CURRENCE, DAVID J

FAMILY PRACTICE

909 GORMAN AVE STE 4

ELKINS, WV 26241

(304) 636-6776

Accepting New Patients: Yes

CCP

2178001 HUMMER, TERRY S

FAMILY PRACTICE

19 MAIN ST

ELKINS, WV 26241

(304) 637-2410

Accepting New Patients: Yes

CCP

2185001 ROBERTS, SAMUEL K

FAMILY PRACTICE

1200 HARRISON AVE 121

ELKINS, WV 26241

(304) 636-6131

Accepting New Patients: Yes

CCP

1674001 LITTLE MEADOW HEALTH CENTER

MULTISPECIALTY GROUP

100 S PICKENS RD

HELVETIA, WV 26224

(304) 924-5453

CCP

- 138 -

Page 141: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RANDOLPH COUNTY0866002 BOYD, MARY S

UNKNOWN SPECIALTY

911 GORMAN AVE STE 302

ELKINS, WV 26241

(304) 636-2920

PCP

0087001 CHUA, CATHERINE M

FAMILY PRACTICE

1092 HARRISON AVE

PO BOX 490

ELKINS, WV 26241

(304) 637-0433

PCP

0087002 CHUA, PHILIP J

FAMILY PRACTICE

1092 HARRISON AVE

PO BOX 490

ELKINS, WV 26241

(304) 637-0433

PCP

0128002 DOWNS, LORRIE A

PEDIATRICS

911 GORMAN AVE STE 304

ELKINS, WV 26241

(304) 637-3565

PCP

0128003 DOWNS, MATTHEW P

PEDIATRICS

911 GORMAN AVE STE 304

ELKINS, WV 26241

(304) 637-3565

PCP

1191002 GAINER, JAMES W

FAMILY PRACTICE

1123 S DAVIS AVE

ELKINS, WV 26241

(304) 636-2696

PCP

1081001 HENDERSON, JOHN P

FAMILY PRACTICE

PO BOX 309

1502 HARRISON AVE

ELKINS, WV 26241

(304) 636-6131

PCP

0863001 HIGH, CARL S

FAMILY PRACTICE

909 GORMAN AVE

ELKINS, WV 26241

(304) 636-9242

PCP

0836001 KHAN, FARUKH

FAMILY PRACTICE

1 PLEASANT AVE STE 1

ELKINS, WV 26241

(304) 636-5426

PCP

0341013 NULPH, LAURA L

FAMILY PRACTICE

15 MOTT STREET

HARMAN, WV 26270

(304) 227-4134

PCP

1995001 RAJJOUB, SALAM H

INTERNAL MEDICINE

911 GORMAN AVE STE 201

ELKINS, WV 26241

(304) 637-6302

PCP

0341014 REXRODE, CARMEN R

FAMILY PRACTICE

15 MOTT STREET

HARMAN, WV 26270

(304) 227-4134

PCP

0639001 RHEE, JOUNG W

PEDIATRICS

1508 S HENEY AVE

ELKINS, WV 26241

(304) 636-6110

PCP

1027001 ROSENBLUM, BRET A

FAMILY PRACTICE

RR 1 BOX 295

ELKINS, WV 26241

(304) 636-3800

PCP

- 139 -

Page 142: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RANDOLPH COUNTY0101001 THOMPSON, CAREN L

FAMILY PRACTICE

630 ROBERT E LEE AVE

ELKINS, WV 26241

(304) 637-3591

PCP

1191001 TONEY, STEVEN R

UNKNOWN SPECIALTY

1123 S DAVIS AVE

ELKINS, WV 26241

(304) 636-2696

PCP

0382003 CUPP, MATTHEW

FAMILY PRACTICE

88 STONE MOUNTAIN LN

ELKINS, WV 26241

(304) 637-5800

PCP

1658004 KING SELARIO, NATALIE R

FAMILY PRACTICE

1513 HARRISON AVE STE 18

ELKINS, WV 26241

(304) 637-9110

PCP

1803001 KIRKLAND, CHARLES

FAMILY PRACTICE

PO BOX 1484

GORMAN AVENUE

ELKINS, WV 26241

PCP

1658003 SECRET, ASHLEE

FAMILY PRACTICE

1513 HARRISON AVE STE 18

ELKINS, WV 26241

(719) 277-7545

PCP

RITCHIE COUNTY2110001 PENNSBORO MEDICAL CENTER

MULTISPECIALTY GROUP

21 MEDICAL CENTER DR

PENNSBORO, WV 26415

(304) 659-2986

Accepting New Patients: Yes

CCP

1058001 BRAVO EDORA, FLORESITA B

FAMILY PRACTICE

PO BOX 373

HARRISVILLE, WV 26362

(304) 643-4005

PCP

1058011 BRAVO EDORA, FLORESITA B

FAMILY PRACTICE

107 RITCHIE COUNTY SCHOOL

ELLENBORO, WV 26346

(304) 643-4005

PCP

1058002 BUTT, SAAD U

INTERNAL MEDICINE

135 S PENN AVE

PO BOX 373

HARRISVILLE, WV 26362

(304) 643-4005

PCP

1058010 DUNAVANT, KELLY

FAMILY PRACTICE

107 RITCHIE COUNTY SCHOOL

ELLENBORO, WV 26346

(304) 873-1401

PCP

1058014 HORACEK, MARILYN

FAMILY PRACTICE

135 S PENN AVE

HARRISVILLE, WV 26362

(304) 643-4005

PCP

1058013 HORACEK, MARILYN W

FAMILY PRACTICE

107 RITCHIE COUNTY SCHOOL

ELLENBORO, WV 26346

(304) 643-4005

PCP

- 140 -

Page 143: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

RITCHIE COUNTY0343002 HUMPHREY, FREDERIC A

INTERNAL MEDICINE

209 KIMBALL AVE

PENNSBORO, WV 26415

(304) 659-2925

PCP

1842001 DUNAVANT, KELLY

FAMILY PRACTICE

135 S PENN AVE

HARRISVILLE, WV 26362

(304) 643-4005

PCP

ROANE COUNTY0783002 CHRISTIANSEN, CARROLL D

FAMILY PRACTICE

146 WILLIAMS DR

SPENCER, WV 25276

(304) 927-1495

PCP

0569005 KESSELL, MARIA L

FAMILY PRACTICE

300 HOSPITAL DR

SPENCER, WV 25276

(304) 927-6209

PCP

1711001 METZGER, TIMOTHY P

FAMILY PRACTICE

200 HOSPITAL DR

SPENCER, WV 25276

(304) 927-4444

PCP

0569017 MILLS, CLINTON C

INTERNAL MEDICINE

200 HOSPITAL DR

SPENCER, WV 25276

(304) 927-4444

PCP

0569015 MOHAN, NIRAJ

INTERNAL MEDICINE

200 HOSPITAL DR

SPENCER, WV 25276

(304) 927-4444

PCP

0569016 ROSE, BRANDON K

INTERNAL MEDICINE

200 HOSPITAL DR

SPENCER, WV 25276

(304) 927-4444

PCP

0783008 VEMURI-VIJAYA, SIREESHA

FAMILY PRACTICE

146 WILLIAMS DR

SPENCER, WV 25276

(304) 927-1485

PCP

0569011 WATSON, BRENT E

INTERNAL MEDICINE

SOUTHERN ROANE MEDICAL CLINIC

SUITE 2

LEFTHAND, WV 25251

(304) 927-6209

PCP

0569012 WATSON, BRENT E

INTERNAL MEDICINE

200 HOSPITAL DR

SPENCER, WV 25276

(304) 927-4444

PCP

0569014 FINCHAM, JASON

FAMILY PRACTICE

200 HOSPITAL DR

SPENCER, WV 25276

PCP

1207004 HUSSAIN, ROSHAN A

FAMILY PRACTICE

400 HOSPITAL DR

SPENCER, WV 25276

(304) 927-5920

PCP

- 141 -

Page 144: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

ROANE COUNTY1711003 PARKINS, GRANT

FAMILY PRACTICE

200 HOSPITAL DR

SPENCER, WV 25276

PCP

0783010 VIOLAGO, KATHERINE

FAMILY PRACTICE

146 WILLIAMS DR

SPENCER, WV 25276

PCP

SUMMERS COUNTY0482053 ADKINS, ROBYN T

FAMILY PRACTICE

115 SUMMERS HOSPITAL RD

HINTON, WV 25951

(304) 466-2929

PCP

0989001 BLUME, JAMES H

FAMILY PRACTICE

WV RT 12

FOREST HILL, WV 24935

(304) 466-1152

PCP

0482052 CALES, SARA M

INTERNAL MEDICINE

115 SUMMERS HOSPITAL RD

HINTON, WV 25951

(304) 466-2965

PCP

0482050 CHHAI, AMARINDER

INTERNAL MEDICINE

115 SUMMERS HOSPITAL RD

HINTON, WV 25951

(304) 466-2965

PCP

0482056 DAY, STANLEY T

UNKNOWN SPECIALTY

197 PLEASANT ST

HINTON, WV 25951

(304) 466-2501

PCP

0482051 HAAG, MATTHEW

FAMILY PRACTICE

115 SUMMERS HOSPITAL RD

HINTON, WV 25951

(304) 466-2918

PCP

0451001 KHAN, WAHEED A

INTERNAL MEDICINE

PO BOX 67

1500 TERRACE STREET

HINTON, WV 25951

(304) 466-2933

PCP

0482054 LANE, ALISA

FAMILY NURSE PRACTITIONER

197 PLEASANT ST

HINTON, WV 25951

(304) 466-2513

PCP

0482055 MITCHELL, CRYSTAL E

FAMILY PRACTICE

197 PLEASANT ST

HINTON, WV 25951

(304) 466-2513

PCP

0482046 CHHABRA, AMARINDER P

INTERNAL MEDICINE

1500 TERRACE ST

HINTON, WV 25951

(304) 466-2905

PCP

0482047 MORRISON, CAROLYN

FAMILY PRACTICE

1500 TERRACE ST

HINTON, WV 25951

(304) 466-2365

PCP

- 142 -

Page 145: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

SUMMERS COUNTY1335003 RICHMAN, STEVEN

GENERAL PRACTICE

151 PLEASANT ST

HINTON, WV 25951

(304) 466-3388

PCP

TAYLOR COUNTY

2117001 PINEWOOD MEDICAL CENTER

MULTISPECIALTY GROUP

401 N PIKE ST

GRAFTON, WV 26354

(304) 265-1350

Accepting New Patients: Yes

CCP

1314024 BARNETT, ALAN

GERIATRICS

1 HOSPITAL PLZ

GRAFTON, WV 26354

(304) 265-6416

PCP

0879038 BENDER, DAVID B

FAMILY PRACTICE

725 N PIKE ST

GRAFTON, WV 26354

(304) 265-4909

PCP

1314004 BENDER, DAVID B

FAMILY PRACTICE

133 EAST VETERANS MEMORIAL

FLEMINGTON, WV 26347

(304) 265-6416

PCP

1314023 BENDER, DAVID B

FAMILY PRACTICE

1 HOSPITAL PLZ

GRAFTON, WV 26354

(304) 265-7450

PCP

1314008 DAVENPORT, GARY

INTERNAL MEDICINE

500 MARKET ST

GRAFTON, WV 26354

PCP

0879039 GAINER, MARY C

FAMILY PRACTICE

725 N PIKE ST

GRAFTON, WV 26354

(304) 265-4909

PCP

1314017 NICHOLS, NANCY L

INTERNAL MEDICINE

500 MARKET ST

GRAFTON, WV 26354

(304) 265-6416

PCP

1314015 SANTIBANEZ, SAMUEL M

GENERAL PRACTICE

500 MARKET ST

GRAFTON, WV 26354

PCP

1314016 SMITH, STEVEN

FAMILY PRACTICE

500 MARKET ST

GRAFTON, WV 26354

(304) 265-0400

PCP

1314014 VILLARAZA, CHRISTOPHER Z

GENERAL PRACTICE

500 MARKET ST

GRAFTON, WV 26354

(304) 265-6416

PCP

0879029 WENTZEL, PETER V

FAMILY PRACTICE

725 N PIKE ST

GRAFTON, WV 26354

(304) 265-4909

PCP

- 143 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

TAYLOR COUNTY0879024 WITKOWSKI, MARK T

FAMILY PRACTICE

725 N PIKE ST

GRAFTON, WV 26354

(304) 265-4909

PCP

1314018 WOODFORD, JAMES W

FAMILY PRACTICE

500 MARKET ST

GRAFTON, WV 26354

(304) 265-6416

PCP

1314021 LAUDERMAN, THOMAS

FAMILY PRACTICE

500 MARKET ST

GRAFTON, WV 26354

PCP

1314022 WILSHIRE, THOMAS

FAMILY PRACTICE

500 MARKET ST

GRAFTON, WV 26354

(304) 265-6416

PCP

TAZEWELL COUNTY

0710003 RASO, ANTHONY D

GENERAL PRACTICE

MEDICAL PARK DR

SUITE 300

BLUEFIELD, WV 24605

(276) 322-5400

PCP

TUCKER COUNTY2184001 ST GEORGE MEDICAL CLINIC IN

FAMILY PRACTICE

8591 HOLLY MEADOWS RD

PARSONS, WV 26287

(304) 478-3339

Accepting New Patients: Yes

CCP

0879016 RADER, EDWIN

FAMILY PRACTICE

PO BOX 250

250 WILLIAM AVE

DAVIS, WV 26260

(304) 259-5588

PCP

1660001 SCHMITT, SUSAN A

FAMILY PRACTICE

229 WALNUT ST

PARSONS, WV 26287

(304) 478-2600

PCP

0539094 MICHELS, DONALD

INTERNAL MEDICINE

260 SPRUCE STREET

PARSONS, WV 26287

(304) 478-2219

PCP

TYLER COUNTY1312001 AHMAD, SAED A

INTERNAL MEDICINE

SISTERSVILLE GENERAL HOSPITAL

314 SOUTHS WELLS STREET

SISTERSVILLE, WV 26175

(304) 447-2030

PCP

1312003 BANTUG, ROGELIO O

GENERAL PRACTICE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 652-2611

PCP

- 144 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

TYLER COUNTY1312009 GODLEWSKI, MATTHEW J

GENERAL PRACTICE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 447-2030

PCP

1312008 NICHOLS, AMANDA D

FAMILY PRACTICE

314 SOUTH WELLS ST

SISTERSVILLE, WV 26175

(304) 447-2038

PCP

1312007 NICHOLS, GARY A

FAMILY PRACTICE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 652-2611

PCP

1312013 FIGUEROA, ALLAN D

FAMILY PRACTICE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 652-2611

PCP

1312015 MORRIS, ROBERT D

INTERNAL MEDICINE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 652-2611

PCP

0534031 MYERS, CLIFFORD

FAMILY PRACTICE

100 FAIR STREET

MIDDLEBOURNE, WV 26149

(304) 455-8010

PCP

1312014 SMITH, CHESTER D

FAMILY PRACTICE

314 S WELLS ST

SISTERSVILLE, WV 26175

(304) 652-2611

PCP

UPSHUR COUNTY

2006001 COMMUNITY CARE OF BUCKHANNON

MULTISPECIALTY GROUP

35-37 W MAIN ST

BUCKHANNON, WV 26201

(304) 924-6262

Accepting New Patients: Yes

CCP

2024001 COMMUNITY CARE OF WV

MULTISPECIALTY GROUP

INT RT 4 AND 20 SOUTH

ROCK CAVE, WV 26234

(304) 924-6262

Accepting New Patients: Yes

CCP

2165001 DAVIS MEDICAL CENTER

MULTISPECIALTY GROUP

11 N LOCUST ST

BUCKHANNON, WV 26201

(304) 472-6382

Accepting New Patients: Yes

CCP

1613001 TRI COUNTY HEALTH CLINIC INC

MULTISPECIALTY GROUP

78 QUEENS ALLEY RD

ROCK CAVE, WV 26234

(304) 924-6262

Accepting New Patients: Yes

CCP

1913001 BUCKHANNON ACADEMY

ELEMENTARY

SCHOOL BASED HEALTH CENTER

16 COLLEGE AVE

BUCKHANNON, WV 26201

(304) 473-1728

CCP

1934001 BUCKHANNON UPSHUR MIDDLE

SCHOO

SCHOOL BASED HEALTH CENTER

RR 6 BOX 303

BUCKHANNON, WV 26201

(304) 472-7039

CCP

- 145 -

Page 148: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

UPSHUR COUNTY1920001 BUCKHANNON-UPSHUR HIGH SCHOOL

SCHOOL BASED HEALTH CENTER

50 B U DR

BUCKHANNON, WV 26201

(304) 472-8333

CCP

0696001 COMMUNITY CARE OF WV

MULTISPECIALTY GROUP

RT 4 AND 20 S

ROCK CAVE, WV 26234

(304) 364-8941

CCP

1914001 FRENCH CREEK ELEMENTARY

SCHOOL

SCHOOL BASED HEALTH CENTER

RR 2 BOX 305

FRENCH CREEK, WV 26218

(304) 924-5247

CCP

2097001 MEDICAL PLAZA-INTERNAL MEDICIN

MULTISPECIALTY GROUP

1 AMALIA DR

BUCKHANNON, WV 26201

(304) 473-2199

Accepting New Patients: Yes

CCP

2100001 PHYS OFFICE CTR 1 FL-FAMILY ME

MULTISPECIALTY GROUP

1 AMALIA DR FL 1

BUCKHANNON, WV 26201

(304) 473-2202

Accepting New Patients: Yes

CCP

2098001 PHYS OFFICE CTR 2 FL-FAMILY ME

MULTISPECIALTY GROUP

1 AMALIA DR FL 2

BUCKHANNON, WV 26201

(304) 473-2305

Accepting New Patients: Yes

CCP

2099001 THE PHYSICIANS OF ST JOSEPH

MULTISPECIALTY GROUP

21 AUCTION LN STE A

BUCKHANNON, WV 26201

(304) 472-6041

Accepting New Patients: Yes

CCP

2159001 THE PHYSICIANS OF ST JOSEPH

MULTISPECIALTY GROUP

21 AUCTION LN STE B

BUCKHANNON, WV 26201

(304) 460-7925

Accepting New Patients: Yes

CCP

1066020 COTTON, APRIL E

FAMILY PRACTICE

11 N LOCUST ST

BUCKHANNON, WV 26201

(304) 472-1600

PCP

0128004 DOWNS, MATTHEW

PEDIATRIC SPECIALIST

16 N SPRING ST

BUCKHANNON, WV 26201

(304) 878-2232

PCP

1066021 HARTMAN, IRA HARTM

FAMILY PRACTICE

11 NORTH LOCUST ST

BUCKHANNON, WV 26201

(304) 472-1600

PCP

0595010 KHAN, ALI A

INTERNAL MEDICINE

2 HARTMAN PLZ

BUCKHANNON, WV 26201

(304) 471-3400

PCP

0572001 REED, JOSEPH B

FAMILY PRACTICE

93 W MAIN ST

BUCKHANNON, WV 26201

(304) 472-6041

PCP

1066011 SMITH, JOHNNY

FAMILY PRACTICE

11 N LOCUST ST

BUCKHANNON, WV 26201

(300) 472-1600

PCP

- 146 -

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

UPSHUR COUNTY1066014 SMITH, STEPHEN

INTERNAL MEDICINE

11 NORTH LOCUST ST

BUCKHANNON, WV 26201

(304) 472-3750

PCP

0432001 WIEST, JEANIE A

PEDIATRICS

93 W MAIN ST

BUCKHANNON, WV 26201

(304) 472-5090

PCP

1600003 WHITEHAIR, AIMEE M

FAMILY PRACTICE

21 AUCTION LN

BUCKHANNON, WV 26201

(304) 472-6041

PCP

WALDO COUNTY0660001 NEW RIVER HEALTH ASSOCIATION

MULTISPECIALTY GROUP

PO BOX 21787

BELFAST, ME 04915

(304) 469-4725

Accepting New Patients: Yes

CCP

WAYNE COUNTY2186001 WAYNE HEALTH SERVICES MU

MULTISPECIALTY GROUP

594 RAILROAD AVE

WAYNE, WV 25570

(304) 272-5136

Accepting New Patients: Yes

CCP

2022001 VALLEY HEALTH WAYNE

MULTISPECIALTY GROUP

42 MCGINNIS DR

WAYNE, WV 25570

(304) 525-0572

Accepting New Patients: Yes

CCP

1891001 CHH WAYNE FAMILY MEDICAL CENTE

MULTISPECIALTY GROUP

750 OAK ST

KENOVA, WV 25530

(304) 452-6136

CCP

1736001 FAMILY MEDICINE OF LAVALETTE

MULTISPECIALTY GROUP

4600 ROUTE 152

LAVALETTE, WV 25535

(304) 697-9480

Accepting New Patients: Yes

CCP

1700001 FORT GAY HEALTH CENTER

MULTISPECIALTY GROUP

71 WAYNE ST

FORT GAY, WV 25514

(304) 648-5544

CCP

1693001 SPRING VALLEY HEALTH CENTER

MULTISPECIALTY GROUP

1 TIMBERWOLF LN

HUNTINGTON, WV 25704

(304) 429-1764

CCP

1695001 VALLEY HEALTH WESTMORELAND

MULTISPECIALTY GROUP

2908 AUBURN RD

HUNTINGTON, WV 25704

(304) 781-5800

CCP

1701001 WAYNE HEALTH SERVICE INC

MULTISPECIALTY GROUP

203 KENOVA AVE

WAYNE, WV 25570

(304) 272-5136

CCP

- 147 -

Page 150: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WAYNE COUNTY1694001 WAYNE HIGH HEALTH CENTER

MULTISPECIALTY GROUP

100 PIONEER RD

WAYNE, WV 25570

(304) 272-3783

CCP

1117001 CRAIG, PAUL W

GENERAL PRACTICE

4552 RT 152

LAVALETTE, WV 25535

(304) 522-7268

PCP

0295001 JARRELL, EUGENIA M

FAMILY PRACTICE

1288 B STREET

PO BOX 327

CEREDO, WV 25507

(304) 453-3334

PCP

1562001 KILKENNY, MICHAEL E

FAMILY PRACTICE

514 HENDRICKS ST

WAYNE, WV 25570

(304) 272-3005

PCP

1746001 KILKENNY, MICHAEL E

FAMILY PRACTICE

US ROUTE 60 4TH STREET

STOREROOM 6

CEREDO, WV 25507

(304) 453-3050

PCP

1758030 BENNETT, AMANDA K

FAMILY PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

PCP

0535013 BRAMMER, CHRISTOPHER

FAMILY PRACTICE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758039 CARROLL, SAMUEL

FAMILY PRACTICE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0535017 CLAPP MD, LAWRENCE

GENERAL PRACTICE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0909007 CREMEANS II, GARY

FAMILY PRACTICE

750 OAK ST

KENOVA, WV 25530

(615) 867-6000

PCP

0535021 DIAL, LARRY

INTERNAL MEDICINE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0535023 DUTHIE, JAMES

INTERNAL MEDICINE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758031 GAYNOR, CECILA

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758035 GONZALEZ-VELEZ, LUIS

GENERAL PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(304) 429-6741

PCP

- 148 -

Page 151: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WAYNE COUNTY0909021 HARPER, GLENN

FAMILY PRACTICE

750 OAK ST

KENOVA, WV 25530

(304) 526-2000

PCP

0535033 HARTMAN, KRISTINA

INTERNAL MEDICINE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0535036 JACKSON, JAMES

INTERNAL MEDICINE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0535040 JOSEPH, SANDRA

FAMILY PRACTICE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758043 LEE, TAE H

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0909081 LEMASTER JR, RONALD

FAMILY PRACTICE

750 OAK ST

KENOVA, WV 25530

(304) 453-6136

PCP

1758045 MAHMOOD, TASLIMA

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(304) 691-1787

PCP

1758034 MARTIN, JOYE

GENERAL PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(828) 257-3777

PCP

0535052 MATTAM, BABU

INTERNAL MEDICINE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758042 MEURER, SUSANN

FAMILY PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

PCP

0535057 MISAGHI, FAREDOON

GENERAL PRACTICE

1540 SPRING VALLEY

HUNTINGTON, WV 25704

(615) 687-6000

PCP

1758041 RASHID, SAYAMA

FAMILY PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

PCP

1758046 SOMMERVILLE, TROY

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(615) 867-6000

PCP

0535081 STALEY, DAVID L

GENERAL PRACTICE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(615) 867-6000

PCP

- 149 -

Page 152: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WAYNE COUNTY1758036 STEMPLE, MARIE A

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON VAMC

HUNTINGTON, WV 25704

(615) 867-6000

PCP

1758047 STEPHENSON, WILLIAM B

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(304) 429-6741

PCP

1758048 TUN, ZAW

INTERNAL MEDICINE

1540 SPRING VALLEY DR

HUNTINGTON, WV 25704

(615) 225-2490

PCP

WEBSTER COUNTY0678014 DAWSON, JOSEPH

FAMILY PRACTICE

10003 WEBSTER RD

CAMDEN ON GLY, WV 26208

(304) 742-3570

PCP

0148004 HARDWAY, MARK J

PEDIATRICS

HOPE MEDICAL CENTER

74 TECHNOLOGY LANE

COWEN, WV 26206

(304) 742-5737

PCP

1747001 HARDWAY, MARK J

PEDIATRICS

56 PARK ST

COWEN, WV 26206

(304) 226-5527

PCP

1747002 HARDWAY, MARK J

PEDIATRICS

10003 WEBSTER RD

CAMDEN ON GLY, WV 26208

(304) 226-5725

PCP

1747003 HICKMAN-RODEBAUGH, CRYSTAL M

FAMILY PRACTICE

10003 WEBSTER RD

CAMDEN ON GAULE, WV 26208

(304) 226-5725

PCP

1322011 JACKSON, JEANETTE

INTERNAL MEDICINE

PO BOX 312

WEBSTER SPRINGS, WV 26288

PCP

0678001 MURPHY, JESSICA L

FAMILY PRACTICE

10003 WEBSTER RD

PO BOX 69

CAMDEN ON GLY, WV 26208

(304) 226-5725

PCP

0148005 RODEBAUGH, CRYSTAL M

FAMILY PRACTICE

74 TECHNOLOGY LN

COWEN, WV 26206

(304) 226-5527

PCP

0678002 TRENBATH, RICHARD S

FAMILY PRACTICE

10003 WEBSTER RD

PO BOX 69

CAMDEN ON GLY, WV 26208

(304) 226-5725

PCP

0678012 CLAGG, EMILY S

FAMILY PRACTICE

10003 WEBSTER RD

CAMDEN ON GAULE, WV 26208

(304) 226-5725

PCP

- 150 -

Page 153: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WEBSTER COUNTY0678013 CLAGG, EMILY S

FAMILY PRACTICE

1 HIGHLANDER DR

UPPERGLADE, WV 26266

(304) 226-5725

PCP

0678010 HICKMAN, CRYSTAL M

FAMILY PRACTICE

1 HIGHLANDER DR

UPPERGLADE, WV 26266

(304) 226-5725

PCP

1322006 MACE, ROBERT M

FAMILY PRACTICE

324 MILLER MOUNTAIN DR

WEBSTER SPRINGS, WV 26288

(304) 847-5682

PCP

1322014 MCELWAIN, VONDA

FAMILY PRACTICE

324 MILLER MOUNTAIN DR

WEBSTER SPRINGS, WV 26288

PCP

1847001 MCELWAIN DO, LUKE C

FAMILY PRACTICE

112 BELL ST STE C

WEBSTER SPRINGS, WV 26288

(304) 847-5483

PCP

WETZEL COUNTY1992001 APOSTOLON, BILL

INTERNAL MEDICINE

3 E BENJAMIN DR

N MARTINSVLLE, WV 26155

(904) 346-3088

PCP

1401002 DESHPANDE, AVINASH

PEDIATRICS

253 N STATE ROUTE 2

N MARTINSVLLE, WV 26155

(304) 455-1019

PCP

1245001 EKANEM, IBANGA

PEDIATRICS

100 PADUCAH DR

N MARTINSVLLE, WV 26155

(304) 455-3611

PCP

0757001 EMCH, EDWARD L

FAMILY PRACTICE

261 MONROE AVE

N MARTINSVLLE, WV 26155

(304) 455-4944

PCP

1330001 GILLIGAN, THOMAS

FAMILY PRACTICE

425 S 4TH AVE

PADEN CITY, WV 26159

(304) 337-2001

PCP

0534016 POOLE, KEITH

FAMILY PRACTICE

295 N STATE ROUTE 2

N MARTINSVLLE, WV 26155

(304) 455-6003

PCP

0534021 POOLE, KEITH A

FAMILY PRACTICE

418 ROUTE 20

PINE GROVE, WV 26419

(304) 889-3344

PCP

1992002 REHBERG, NEAL

FAMILY PRACTICE

3 E BENJAMIN DR

N MARTINSVLLE, WV 26155

(904) 346-3088

PCP

- 151 -

Page 154: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WETZEL COUNTY0534029 ARAUJO, ARMANDO

FAMILY PRACTICE

13034 SHORTLINE HIGHWAY

PINE GROVE, WV 26419

(304) 455-8056

PCP

0534032 BLUM, DONALD A

FAMILY PRACTICE

3 E BENJAMIN DR

PO BOX 237

N MARTINSVLLE, WV 26155

(304) 455-4332

PCP

0534033 BLUM, JONATHAN C

INTERNAL MEDICINE

3 E BENJAMIN DR

N MARTINSVLLE, WV 26155

(304) 455-8000

PCP

1863001 BOONE, RICHARD

FAMILY PRACTICE

260 RUSSELL AVE

N MARTINSVLLE, WV 26155

PCP

1863003 DUSHKOFF, ROBERT

FAMILY PRACTICE

260 RUSSELL AVE

N MARTINSVLLE, WV 26155

(304) 916-1270

PCP

1863006 EARLEY, WILLIAM J

FAMILY PRACTICE

260 RUSSELL AVE

N MARTINSVLLE, WV 26155

(304) 224-1096

PCP

0534030 MILLER, BRADLEY

INTERNAL MEDICINE

150 PADUCAH DR

N MARTINSVLLE, WV 26155

(304) 455-8056

PCP

0534034 NAUMANN, WALTER

FAMILY PRACTICE

295 N STATE ROUTE 2

N MARTINSVLLE, WV 26155

(304) 455-8056

PCP

WIRT COUNTY2035001 AVULA, LAKSHMI

FAMILY PRACTICE

PO BOX 609

ELIZABETH, WV 26143

(304) 275-3301

PCP

2034001 CROWE, ANGELA D

FAMILY PRACTICE

461 SCHOOLVIEW ST

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333020 DASARI, SIREESH

FAMILY PRACTICE

483 COURT STREET

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333026 DASARI, SIREESHA

FAMILY PRACTICE

461 SCHOOLVIEW STREET

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333004 ESTRADA, CRISTINA G

FAMILY PRACTICE

1301 ELIZABETH PIKE

ELIZABETH, WV 26143

(304) 275-3301

PCP

- 152 -

Page 155: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WIRT COUNTY1584001 FREED, HOLLY J

FAMILY PRACTICE

1301 ELIZABETH PIKE

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333012 HENDERSHOT, TRACY L

FAMILY PRACTICE

1301 ELIZABETH PIKE

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333007 MARTINSEN, CYNTHIA

FAMILY PRACTICE

1301 ELIZABETH PIKE

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333025 METZGER, TIMOTHY

FAMILY PRACTICE

483 COURT ST

ELIZABETH, WV 26143

(304) 275-3301

PCP

0333009 PATEL, JANAK

FAMILY PRACTICE

1301 ELIZABETH PIKE

PO BOX 609

ELIZABETH, WV 26143

(304) 275-3301

PCP

WOOD COUNTY2087001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

600 18TH ST STE 606

PARKERSBURG, WV 26101

(304) 424-4575

Accepting New Patients: No

CCP

2088001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

1907 ANN ST

PARKERSBURG, WV 26101

(681) 315-3100

Accepting New Patients: No

CCP

2089001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

2200 GRAND CENTRAL AVE STE 110

VIENNA, WV 26105

(304) 295-9000

Accepting New Patients: Yes

CCP

2090001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

2012 GARFIELD AVE STE 1

PARKERSBURG, WV 26101

(304) 424-4844

Accepting New Patients: Yes

CCP

2091001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

4 ROSEMAR CIR

PARKERSBURG, WV 26104

(304) 865-5130

Accepting New Patients: Yes

CCP

2092001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

602 DIVISION ST

PARKERSBURG, WV 26101

(604) 865-5070

Accepting New Patients: Yes

CCP

2093001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

2838 PIKE ST STE 1

PARKERSBURG, WV 26101

(304) 865-5070

Accepting New Patients: Yes

CCP

2095001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

801 GARFIELD AVE STE 100

PARKERSBURG, WV 26101

(304) 424-2228

Accepting New Patients: Yes

CCP

- 153 -

Page 156: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WOOD COUNTY2161001 CAMDEN CLARK PHYSICIAN CORP

MULTISPECIALTY GROUP

1824 MURDOCH AVE

PARKERSBURG, WV 26101

(304) 598-4855

Accepting New Patients: Yes

CCP

1205022 ADKINS, CATHERINE

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1196002 AVERY, DAVID W

FAMILY PRACTICE

418 GRAND PARK DR STE 312

PARKERSBURG, WV 26105

(304) 422-3400

PCP

1205003 BARTON, JASON

FAMILY PRACTICE

604 ANN ST

PO BOX 1669

PARKERSBURG, WV 26101

(304) 485-3300

PCP

1912001 BEANE, JAMES M

FAMILY PRACTICE

600 18TH ST STE 412

PARKERSBURG, WV 26101

(304) 424-4730

PCP

1144001 BERHANE, MINIYA

PEDIATRICS

600 18TH ST STE 601

PARKERSBURG, WV 26101

(304) 485-3515

PCP

1205023 BRAHAM, JEFFERY T

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

0981001 CAPEL, TERRY W

FAMILY PRACTICE

1019 GARFIELD AVE

PARKERSBURG, WV 26101

(304) 428-5060

PCP

0981002 CAPEL, TERRY W

FAMILY PRACTICE

800 GARFIELD AVE

PARKERSBURG, WV 26101

(304) 428-5060

PCP

1640001 CHESNUT, JOY C

FAMILY PRACTICE

600 18TH STE 211

PARKERSBURG, WV 26101

(304) 424-4870

PCP

1205024 CONNER, DARCY M

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1205034 CONNER, JOHN T

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-3300

PCP

1205026 COX, VICKI A

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

0333023 DAILEY, CATHY A

PEDIATRICS

3705 EMERSON AVE

PARKERSBURG, WV 26104

(304) 275-3301

PCP

- 154 -

Page 157: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WOOD COUNTY0333024 DAILEY, CATHY A

PEDIATRICS

2610 CAMDEN AVE

PARKERSBURG, WV 26101

(304) 275-3301

PCP

1157009 EDMANDS, CHRISTOPHER J

FAMILY PRACTICE

418 GRAND PARK DR STE 312

VIENNA, WV 26105

(304) 424-4205

PCP

1205027 FLUHARTY, KELLY C

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1205028 HEAVNER, ROBERT R

FAMILY PRACTICE

800 GRAND CENTRAL MALL STE 4

VIENNA, WV 26105

(304) 485-4439

PCP

1205029 HERRMANN, THOMAS A

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1643001 LOWERS, RYAN D

FAMILY PRACTICE

800 GRAND CENTRAL AVE STE 4

VIENNA, WV 26105

(304) 485-3300

PCP

1205035 MAUZY, MICHAEL B

FAMILY PRACTICE

800 GRAND CENTRAL MALL STE 4

VIENNA, WV 26105

(304) 485-3300

PCP

0996001 MILHOAN, STEVAN J

UNKNOWN SPECIALTY

2200 GRAND CENTRAL AVE STE 110

VIENNA, WV 26105

(304) 295-9000

PCP

0648001 MILLER, RUSSELL A

PEDIATRICS

1900 GARFIELD AVE STE C

PARKERSBURG, WV 26101

(304) 422-6682

PCP

1205030 MILLER JR, ERNEST E

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1205031 NEWLAND, DENNIS E

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

0984001 PATEL, PRAKASH M

PEDIATRICS

600 18TH ST STE 101

PARKERSBURG, WV 26101

(304) 424-4531

PCP

0943001 POWDERLY, FINBAR G

FAMILY PRACTICE

PO BOX 1385

PARKERSBURG, WV 26102

(304) 489-1222

PCP

0943002 POWDERLY, FINBAR G

FAMILY PRACTICE

1578 ELIZABETH PIKE # 489

MINERAL WELLS, WV 26150

(304) 489-1222

PCP

- 155 -

Page 158: State of West Virginia · State of West Virginia ... 202 FOXCROFT AVE MARTINSBURG, WV 25401 (304) 264-4090 PCP ... 65 HEALTH CARE LN MARTINSBURG, WV 25401 (304) 263-6997 PCP

July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WOOD COUNTY0074001 SHIFFLER, JOEL D

FAMILY PRACTICE

2003 MURDOCH AVE STE A

PARKERSBURG, WV 26101

(304) 422-3999

PCP

0322002 SPYCHALSKI, JAMES N

FAMILY PRACTICE

600 18TH ST STE 611

PARKERSBURG, WV 26101

(304) 424-4870

PCP

1205032 STOOKE, KIMBERLY M

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1205033 STRAIGHT, HEATHER D

FAMILY PRACTICE

800 GRAND CENTRAL MALL

VIENNA, WV 26105

(304) 485-4439

PCP

1205019 VANCE, SHARILEDA

FAMILY PRACTICE

800 GRAND CENTRAL MALL STE 4

VIENNA, WV 26105

(304) 485-4439

PCP

0604001 WHITAKER, CHARLES F

PEDIATRICS

600 18TH ST STE 304

PARKERSBURG, WV 26101

(304) 424-4961

PCP

1775001 WOLFE, BRANDON M

FAMILY PRACTICE

1900 GARFIELD AVE

PARKERSBURG, WV 26101

(304) 716-1720

PCP

1896001 WOLFE, BRETT M

PEDIATRICS

1900 GARFIELD AVE STE B

PARKERSBURG, WV 26101

(304) 916-1714

PCP

0165001 ARMSTRONG, ORTON C

INTERNAL MEDICINE

600 18TH ST STE 404

PARKERSBURG, WV 26101

(304) 424-4650

PCP

1157008 BARNES, KATRINA R

FAMILY PRACTICE

424 HIGHLAND AVE

WILLIAMSTOWN, WV 26187

(304) 375-4656

PCP

1874001 DASARI, SIREESHA

FAMILY PRACTICE

1504 GRAND CENTRAL AVE

VIENNA, WV 26105

(304) 485-7500

PCP

1863002 DUSHKOFF, ROBERT B

FAMILY PRACTICE

2107 PIKE ST STE 5

PARKERSBURG, WV 26101

PCP

1863007 EARLEY, WILLIAM J

FAMILY PRACTICE

2107 PIKE ST STE 5

PARKERSBURG, WV 26101

(304) 424-4150

PCP

1059031 FERGUSON, RICHARD

FAMILY PRACTICE

800 GARFIELD AVE

PARKERSBURG, WV 26101

(800) 562-2945

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WOOD COUNTY1059030 FERGUSON, RICHARD A

FAMILY PRACTICE

1824 MURDOCH AVE

PARKERSBURG, WV 26101

(202) 574-6000

PCP

1132001 FILOZOF, PETER

GENERAL PRACTICE

705 GARFIELD AVE STE 310

PARKERSBURG, WV 26101

(304) 424-4816

PCP

0478003 HOPKINS, LEAH G

INTERNAL MEDICINE

3705 EMERSON AVE

PARKERSBURG, WV 26104

(304) 865-0272

PCP

1038005 KUPPUSWAMY, BAIRAVA S

INTERNAL MEDICINE

2610 CAMDEN AVE

PARKERSBURG, WV 26101

PCP

1863004 LAUDERMAN, THOMAS A

FAMILY PRACTICE

2107 PIKE ST STE 5

PARKERSBURG, WV 26101

PCP

0753003 LINGER, R T

FAMILY PRACTICE

443 HIGHLAND AVE

WILLIAMSTOWN, WV 26187

(304) 343-9588

PCP

1861001 MALIK-HAMIRANI, RABINA

INTERNAL MEDICINE

800 GRAND CENTRAL MALL STE 9

VIENNA, WV 26105

(304) 834-3970

PCP

0892001 MOSES, MICHAEL S

INTERNAL MEDICINE

1512 36TH ST

PARKERSBURG, WV 26104

(304) 422-5140

PCP

1157006 PICKERING, DAVID

INTERNAL MEDICINE

424 HIGHLAND AVE

WILLIAMSTOWN, WV 26187

(304) 424-2777

PCP

1157007 POWELL, JILL

FAMILY PRACTICE

501 HIGHLAND AVE

WILLIAMSTOWN, WV 26187

(304) 375-7992

PCP

1886001 TOMLINSON, WILLIAM

INTERNAL MEDICINE

600 18TH ST STE 404

PARKERSBURG, WV 26101

(304) 424-4650

PCP

0333015 WILLIAMSON, LARRY D

FAMILY PRACTICE

600 18TH ST STE 412

PARKERSBURG, WV 26101

(304) 275-3301

PCP

1059026 WILLS, CHARLES

FAMILY PRACTICE

800 GARFIELD AVE

PARKERSBURG, WV 26101

(800) 562-2945

PCP

WYOMING COUNTY

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WYOMING COUNTY0329020 BAILEY, JOANNA

FAMILY PRACTICE

US ROUTE 10 PINEVILLE 585

PINEVILLE, WV 24874

(304) 448-2101

PCP

0545001 BHAVSAR, SHASHI B

FAMILY PRACTICE

RT 10 COOKE PKWY

PO BOX 400

OCEANA, WV 24870

(304) 682-6246

PCP

0545018 BHAVSAR, SHASHIKAN

FAMILY PRACTICE

26 TRINITY LANE

OCEANA, WV 24870

(304) 854-1323

PCP

0668001 CATTERSON, EILEEN C

PEDIATRICS

ROUTE 10

PO BOX 430

PINEVILLE, WV 24874

(304) 242-3049

PCP

0868001 FLAIM, ANTHONY R

FAMILY PRACTICE

PO BOX 1650

97 MAIN ST

PINEVILLE, WV 24874

(304) 732-6735

PCP

0868010 FLAIM, ANTHONY R

FAMILY PRACTICE

926 COOK PARKWAY

OCEANA, WV 24870

(304) 682-8238

PCP

0868014 FLAIM, ANTHONY R

FAMILY PRACTICE

205 HOWARD AVE

MULLENS, WV 25882

(304) 294-4880

PCP

1906001 LAO, DOMINADOR Y

GENERAL PRACTICE

1973 APPALACHIAN HIGHWAY

PINEVILLE, WV 24874

(304) 732-9045

PCP

0868003 MUSCARI, MICHAEL A

FAMILY PRACTICE

PO BOX 1650

97 MAIN ST

PINEVILLE, WV 24874

(304) 732-6735

PCP

0868012 MUSCARI, MICHAEL A

FAMILY PRACTICE

926 COOK PARKWAY

OCEANA, WV 24870

(304) 682-8238

PCP

0868019 MUSCARI, MICHAEL A

FAMILY PRACTICE

205 HOWARD AVE

MULLENS, WV 25882

(304) 294-4880

PCP

0868036 MUSCARI, MICHAEL A

FAMILY PRACTICE

113 MAIN AVE

PINEVILLE, WV 24874

(304) 732-6735

PCP

0868034 MUSCARI, NICHOLAS

FAMILY PRACTICE

205 HOWARD AVE

MULLENS, WV 25882

(304) 294-4880

PCP

0868005 MUSCARI, SAMUEL A

FAMILY PRACTICE

113 MAIN AVE

PINEVILLE, WV 24874

(304) 732-6735

PCP

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July 05, 2018PEIA CCP / PCP PROVIDER DIRECTORY

WYOMING COUNTY0868009 MUSCARI, SAMUEL A

FAMILY PRACTICE

205 HOWARD AVE

MULLENS, WV 25882

(304) 294-4880

PCP

0868011 MUSCARI, SAMUEL A

FAMILY PRACTICE

PO BOX 1650

113 MAIN STREET

PINEVILLE, WV 24874

(304) 732-6611

PCP

0868021 MUSCARI, SAMUEL A

FAMILY PRACTICE

PO BOX 1710

OCEANA, WV 24870

(304) 682-8238

PCP

0329015 BAILEY, JOANNA

FAMILY PRACTICE

585 APPALACHIAN HIGHWAY

PINEVILLE, WV 24874

(304) 448-2101

PCP

0872003 BARIT, MANUEL

FAMILY PRACTICE

300 HOWARD AVE

MULLENS, WV 25882

(304) 294-6800

PCP

0868030 MUSCARI, NICHOLAS

FAMILY PRACTICE

113 MAIN AVE

PINEVILLE, WV 24874

(304) 732-6611

PCP

0868031 MUSCARI, NICHOLAS

FAMILY PRACTICE

926 COOK PARKWAY

OCEANA, WV 24870

(304) 436-6650

PCP

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

BARBOUR COUNTY 2138001 BARBOUR COUNTY FAMILY MEDICINEBARBOUR COUNTY 2138001

BARBOUR COUNTY 2181001 BELINGTON MEDICAL CLINICBARBOUR COUNTY 2181001HACKNEY, PATTIHARRIS, MARKHARWARD, GEORGEHENDERSON, JOHNHIGH, STEPHENHOLBERT, CECILJESSICA WEINERKETCHEM, SUSANPALCO, PETEPARKER, JENNIFERPINGLEY, JAMIESIAS, JESSICASPOTLOE, KARENVALENTINE, HANNAWILSON, LORETTA

BARBOUR COUNTY 2180001 BROADDUS HOSPITALBARBOUR COUNTY 2180001BUTLER, GARRETTDUVALL, JENNIFER

BERKELEY COUNTY 2137001 BLUE RIDGE HEALTHCAREBERKELEY COUNTY 2137001CROSS, SARAHFUNK, CATHY

BERKELEY COUNTY 2160001 EAST PRIMARY CARE SPRING MILLSBERKELEY COUNTY 2160001SCHWEID, MEGAN

BERKELEY COUNTY 2119001 INWOOD FAMILY MEDICINEBERKELEY COUNTY 2119001BAGREE, SARIKADHINDSA, MANDEEPPRINCE, AMANDAROELKEY, JESSICA

BERKELEY COUNTY 2151001 TUSCARORA PRIMARY CAREBERKELEY COUNTY 2151001CRAWFORD, ABIGAIL

BERKELEY COUNTY 2123001 UHP GATEWAY FAMILY MEDICINEBERKELEY COUNTY 2123001CHAIBAN, RAFKAMCGAVISK, LINDAMILLER, KARENMILLER, RYANSCHWEID, MEGANVASCIK, SCOTT

BERKELEY COUNTY 2124001 UNIVERSITY INTERNAL MEDICINEBERKELEY COUNTY 2124001JALAZO, JESSEMCCARTHY, RYANPARK, CHANPARK, JANERUDOLPH, KAREN

BERKELEY COUNTY 2122001 UNIVERSITY PEDIATRIC ASSOCIATEBERKELEY COUNTY 2122001CHAIBAN, RATKAOLIVER, CAROL

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

SUNKAVALLI, RAJAVASCIK, SCOTTWEAR, WILLIAM

BERKELEY COUNTY 2118001 WVU MEDICINE PRIMARY CARE PENDBERKELEY COUNTY 2118001ARVON, ALEXANDERQUINN, MOLLY

BOONE COUNTY 1671001 FAMILYCARE-MADISONBOONE COUNTY 1671001CHATTIN, RONALDCILIBERTI, DEVINDUNCAN, AMBERFRAZIER, SARAHHAIDER, ZEINAJORDAN, HOLLYLINVILLE, LAURENMURRINER, HOLLYSCHNATZ, REBECCASIPSY, LONNIESPURLOCK, DEBORAHTHOMPSON, MELISSA

BRAXTON COUNTY 1919001 BRAXTON CO HIGH SCHOOL WELLNESBRAXTON COUNTY 1919001CARTER, ANGELEASHRIVER, REBECCA

BRAXTON COUNTY 1918001 BRAXTON CO MIDDLE SCHOOL WELLNBRAXTON COUNTY 1918001CARTER, ANGELEASHRIVER, REBECCA

BRAXTON COUNTY 2070001 BURNSVILLE ELEMENTARY SCHOOL WBRAXTON COUNTY 2070001

BRAXTON COUNTY 1988001 COMMUNITY CARE OF FLATWOODSBRAXTON COUNTY 1988001BROWN HEBB, AMYCHAPMAN, CYNTHIADOBBINS, VICTORIAFARRY, KIMBERLYJACKSON, STEPHANIEKENNEDY, CHRISLAULER, JENNIFERMILLER, STACYTHAYER-HUGHES, CALLIEYOUNG, TONYA

BRAXTON COUNTY 1900001 COMMUNITY CARE OF FLATWOODS IIBRAXTON COUNTY 1900001BAKER, JOSHUABROWN HEBB, AMYCARTER, CHRISTOPHERCHAPMAN, CYNTHIADOBBINS, VICTORIAFARRY, KIMBERLYJACKSON, STEPHANIEKENNEDY, CHRISMILLER, STACYSHRIVER, REBECCASIFORD, KARATHAYER-HUGHES, CALLIEYOUNG, TONYA

- 2 -

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

BRAXTON COUNTY 1936001 DAVIS ELEMENTARY SCHOOL WELLNEBRAXTON COUNTY 1936001CARTER, ANGELASHRIVER, REBECCA

BRAXTON COUNTY 2139001 ELK MEMORIAL CLINICBRAXTON COUNTY 2139001GANT, DARLA

BRAXTON COUNTY 2071001 FLATWOODS ELEMENTARY SCHOOL WBRAXTON COUNTY 2071001

BRAXTON COUNTY 1937001 FRAMETOWN ELEMENTARY SCHOOLBRAXTON COUNTY 1937001CARTER, ANGELASHRIVER, REBECCA

BRAXTON COUNTY 2073001 LITTLE BIRCH ELEMENTARY SCHOOLBRAXTON COUNTY 2073001

BRAXTON COUNTY 2072001 SUTTON ELEMENTARY SCHOOL WELLNBRAXTON COUNTY 2072001

CABELL COUNTY 1682001 A WOMANS PLACECABELL COUNTY 1682001BOOTH JR, RICHARDSCAIFE, AARON

CABELL COUNTY 1739001 BYRD CLINICAL CENTERCABELL COUNTY 1739001AKPANUDO, BARBARAAKPANUDO, SUTOIDEMBOHREN, JEREMIAHBRAMMELL, ANGELABROWNING, SHANNONCOLLINS, NATHANIELDIAL, LARRYEL-HAMDANI, MEHAIREL-HAMDANI, MEHIARGIBSON, CHRISTYGILKERSON, CHRISTINGOEBEL, LYNNEGRESS, TODDHAWARNY, RITAHAWTHORNE RD LD, TRACYHE, PEIMEIHETTLINGER, MARCINDRAMOHAN, PAVITHRAIRFAN, AFFANJONES, ALEXISKHALIL, ELIELEWIS, LEAHMEADOWS, CHARLIEMOLINA, DAWNMOORE, DEBRAMUSTAFA, BISHERNEITCH, SHIRLEYNITARDY, WILLIAMOKHUMALE, PAULOLEY, GRETCHENPATTERSON, CAROLRIVAS, FRANKROY, JOEYROY, STEPHENSAUNDERS MD, ELIZABETH

- 3 -

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

SUBIK, MARCTACKETT, EVATEKA, SAMSONTOLER, TINATOOLEY, TRINATOVAR MARMOLEJO, YARAVAUGHAN, NATHANWHITE, LEONARDYINGLING, KEVINZAWODNIAK, ASHLEY

CABELL COUNTY 1889001 CABELL HUNTINGTON HOS PEDIATRICABELL COUNTY 1889001AVERY, KENNETHBAILES, JAMESBURCK, CARIPERRY, LORIPORTER, HILARYSAVORY, LINDASTINNETT, MICHAELWILLIAMSON, PENNY

CABELL COUNTY 1691001 CABELL MIDLAND HEALTH CENTERCABELL COUNTY 1691001

CABELL COUNTY 2081001 CHH FAMILY PRACTICE BARBOURSVICABELL COUNTY 2081001GIBBS, MICHAELHARRIS, MATTHEWSTOTTS, DIANATWOHIG, TERESA

CABELL COUNTY 2077001 CHH HOME CARE MEDICINECABELL COUNTY 2077001CELDRAN, SUZANNEPINSON, CYNTHIAPYLES, JULIERUNETTI, JAMIESTONER, JAMIEWHITE, AMBRYAN

CABELL COUNTY 1890001 CHH MERRITTS CREEK FAMILY MEDCABELL COUNTY 1890001MARCUZZI MD, MARYSOUTHALL, JASON

CABELL COUNTY 2068001 CHH PAIN MANAGEMENT CENTERCABELL COUNTY 2068001MOUFARREGE, GHASSANOZTURK, AHMET

CABELL COUNTY 1892001 CHH WOMENS & FAMILY MEDICALCABELL COUNTY 1892001ALWAAL, AMJADMARCUM, PATTI

CABELL COUNTY 2078001 CHH WOODLANDS PRIMARY CARE CLICABELL COUNTY 2078001CELDRAN, SUZANNEPINSON, CYNTHIAPYLES, JULIERUNETTI, JAMIEWHITE, AMBRYAN

CABELL COUNTY 2065001 HIMGCABELL COUNTY 2065001KAPLAN, DONNA

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

CABELL COUNTY 2062001 HIMG HIMGCABELL COUNTY 2062001ABDELGABER, AHMEDADKINS, SAMANTHABARKER, JAMABARRINGER, ERICABOWSHER, DONALDCAMERON, CANDICECARICO, GREGORYCOFFMAN, SHAWNCONAWAY, REBECCAKAPLAN, DONNALESTER, TODDLEWIS, CYNTHIALEWIS, MYRONPATICK, DAVIDSMITH, STEPHENSNYDER, RUSSELLTACKETT, CHANDOSTRIPLETT, TERRENCETURNER, ROBERTVAUGHN, MARYWEIXLER, LOIS

CABELL COUNTY 1692001 HUNTINGTON HIGH HEALTH CENTERCABELL COUNTY 1692001

CABELL COUNTY 2051001 MARSHALL DERMATOLOGYCABELL COUNTY 2051001GASKINS, ANNETTEWESTENHOFER, JASONYARBROUGH MD, CHARLESYARBROUGH, CHARLES

CABELL COUNTY 2026001 MARSHALL FAMILY MEDICINECABELL COUNTY 2026001THACKER, ANTHONY

CABELL COUNTY 1740001 MARSHALL MED CNTR PEDIATRICSCABELL COUNTY 1740001EVANS, JOSEPHFLESHER, SUSANGERLACH, JENNIFERKELLY MD, PATRICIALAKHANI, JAYLAMBROS, IRALANELOCHOW, AMYLOPATA, SUSANMADDOX, CHAUNDRAPINO, ISABELPITSENBARGER, JODIPRITT, AUDRASHIELDS, JESSIEWIPPEL, MARK

CABELL COUNTY 1735001 MARSHALL MEDICAL CENTERCABELL COUNTY 1735001BELL MD, KATHRYNBOUKHEMIS, RABAHCHONGSWATDI, NATAVOOTCLEMENTS, CHARLESCULVER, GARYFLOYD, CIARA

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

FULLER, JEREMYGIBBS, MARYMAYS-KINGSTON, ADRIENNEMCELROY MD, SYDNEENAIR, LAURIEOHANLON, KATHLEENPARKER, JOHNPETRANY, STEPHENPHAN, NICOLASROLLINS, JAMESRUPP, DAVIDSALLIE, CAITLINSHAVER, WARRENWALDEN, JOHN

CABELL COUNTY 2056001 MARSHALL UNIVERSITYCABELL COUNTY 2056001ADAMS, REBECCABOCKWAY, NANCYPROUDFOOT HARMAN, PEGGYSILVEIRA, CAROLYN

CABELL COUNTY 1741001 PEDIATRIC NOW CARE AT HIMGCABELL COUNTY 1741001DOLAN, JEANNADUNLAP, BRIANMCKEAND, CHRISTOPHERNAEGELE, JAY

CABELL COUNTY 1742001 PEDIATRICS AT 3RD AVECABELL COUNTY 1742001HENSLEY, CHRISTINALEWIS, JAMESLUTZ, PATRICIARAY, JACQUELINE

CABELL COUNTY 1702001 SOUTHSIDE ELEM SCHOOL HEALTHCABELL COUNTY 1702001BARTRAM, MEGANLEWIS, TONYA

CABELL COUNTY 2053001 THE CENTER FOR LUNG HEALTH ATCABELL COUNTY 2053001AL-OURANI, MOHAMMED MUSAKHAN, SAADKHAWAJA, IMRANSHWEIHAT, YOUSEFTOLER, TINAZEID MD, FUAD

CABELL COUNTY 1997004 UNIV PHYSICIANS & SURGEONS INCCABELL COUNTY 1997004KHANNA, RAJMYERS, WILLIAMROY, JOEY

CABELL COUNTY 0627192 UNIVERSITY PHYSICIANS & SURGEOCABELL COUNTY 0627192AMBROS, IRALANEAVERY, KENNETHBAILES, JAMESCHRISTIANSEN, MATTHEWDENNING MD, DAVIDDINSMORE, DOHNFALTAOUS MD, ADEL

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

FINLEY, SANDRAGOEL, AKSHAYHETTLINGER, MARCLOVEJOY, SUSANMANCHIN, SCARLETTMASSEY, CYNTHIAMEHIAR, MEHIARMURPHY, MARYNICELER, BROCKNITARDY, WILLIAMOHANLON, KATHYSAMABRIA, JUANSMITH, REBECCASTEELE, KATHERINESTOKES, REBECCAWALL, TERESA

CABELL COUNTY 2011001 UNIVERSITY PHYSICIANS & SURGEOCABELL COUNTY 2011001CHAMBERS, MICHAELGUE, AIMEE

CABELL COUNTY 1686001 VALLEY HEALTH ASSOCIATESCABELL COUNTY 1686001LEVINE, LEIGHMAYNARD, STEPHANIERAMAN, MANIMEKALAISCHINDLER, SARAH

CABELL COUNTY 1730001 VALLEY HEALTH EAST HUNTINGTONCABELL COUNTY 1730001ANDERSON, BETHANYDISTEFANO, ELIZABETHFERNANDEZ, HORTENCIALANE, ARTINALEVINE, LEIGHMORAN, EDWARDROSS, BRITNISHANNON, SARAHWHITE, LEONARD

CABELL COUNTY 1981001 VALLEY HEALTH FOOD FAIR RT 60CABELL COUNTY 1981001ANDERSON, BETHANYFLOYD, LAURENLEGG, KIMBERLYLEVINE, LEIGHLITCHFIELD, LINDSEYMAYNARD, STEPHANIEMCDANIEL, JEREMYPORTER, ROBINSHANNON, SARAHWELLMAN, BRETT

CABELL COUNTY 2016001 VALLEY HEALTH HARMONY HOUSECABELL COUNTY 2016001CHILDRESS, LISACRUTCHFIELD, CHELSEY

CABELL COUNTY 1689001 VALLEY HEALTH HIGHLAWNCABELL COUNTY 1689001HACKMAN, MICHAELSCARBERRY, CAROLYNVANCE, TERRY

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

WOLFE, DAVID

CABELL COUNTY 1706001 VALLEY HEALTH MILTONCABELL COUNTY 1706001BRANAM, CHRISTOPHEREAKLE, LINDALEWIS, JESSICAMAYNARD, STEPHANIEMITCHELL, KOREYROSS, BRITNI

CABELL COUNTY 2017001 VALLEY HEALTH MOUNTWESTCABELL COUNTY 2017001ROBERTS, TERRY

CABELL COUNTY 1710001 VALLEY HEALTH PRESTERA RT 60CABELL COUNTY 1710001CHILDRESS, LISA

CABELL COUNTY 1688001 VALLEY HEALTH SOUTHSIDECABELL COUNTY 1688001BARTRAM, MEGANLEWIS, TONYA

CABELL COUNTY 1978001 VALLEY HEALTH SYSTEMSCABELL COUNTY 1978001EAKLE, LINDA

CABELL COUNTY 2182001 VALLEY HEALTH SYSTEMS INCCABELL COUNTY 2182001LEFFINGWELL, RHONDA

CABELL COUNTY 2018001 VALLEY HEALTH 10TH STREETCABELL COUNTY 2018001CHILDRESS, LISAMOORE, LONNA

CABELL COUNTY 1737001 VILLAGE MEDICAL CENTERCABELL COUNTY 1737001BANNISTER, TAMMYCURTIS, CAROLYNHARRIS, ERIKAPATTON, ROSS

CLAY COUNTY 1676001 BIG OTTER CLINICCLAY COUNTY 1676001BRAMLEE, AMBERBROWN HEBB, AMYDOBBINS, VICTORIAJONES, CHRISTINESMITH, LAURA

CLAY COUNTY 1677001 BIG OTTER ELEM SCHOOL WELLNESSCLAY COUNTY 1677001BROWN HEBB, AMYGILLENWATER, CHRISTINA

CLAY COUNTY 1678001 CLAY ELEMENTARY WELLNESS CENTECLAY COUNTY 1678001GILLENWATER, CHRISTINA

CLAY COUNTY 1680001 CLAY HIGH SCHOOL WELLNESS CTRCLAY COUNTY 1680001

CLAY COUNTY 1679001 CLAY MIDDLE SCHOOL WELLNESS CTCLAY COUNTY 1679001

CLAY COUNTY 1910001 HE WHITE ELEMENTARY SCHOOL WELCLAY COUNTY 1910001BONER, TRACIE

CLAY COUNTY 1972001 LIZEMORE ELEMENTARY SCHOOL WELCLAY COUNTY 1972001

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

OSBORNE, AMY

CLAY COUNTY 1681001 PRIMARY CARE SYSTEMS INCCLAY COUNTY 1681001ANGUS, LINDABECHER, KIMBERLYBONER, TRACIEBROWN HEBB, AMYCHANDLER, BRANDYCHOUINARD, SARAHGILLENWATER, CHRISTINAKENNEDY, CHRISKING, ERINOSBORNE, AMYOSBORNE, HOLLY

DODDRIDGE COUNTY 2109001 DODDRIDGE MEDICAL CENTERDODDRIDGE COUNTY 2109001CALHOUN, ARTHURHENRY, ZACHARYNUTTER, JOANN

FAYETTE COUNTY 2041001 ACCESSHEALTH FAYETTE CLINICFAYETTE COUNTY 2041001ANTOLINI, MICHAELNEWELL, DONALDNEWELL, LISANEWELL, RYANSWANK, JESSICA

FAYETTE COUNTY 1721001 NEW RIVER ELEMENTARY SCHOOLFAYETTE COUNTY 1721001HAMB, TRACIERICOTTILLI, TESSA

FAYETTE COUNTY 1712001 NEW RIVER FAMILY HEALTH CENTERFAYETTE COUNTY 1712001BOGGS, JOSHUABRASH, CHRISTINADOYLE, DANIELLESHER, ALAYANAMIRZA, ABDULSHIELER, JESSICATHOMAS, SAVANNA

FAYETTE COUNTY 1713001 NEW RIVER HEALTH ASSOCIATIONFAYETTE COUNTY 1713001BOGGS, WHITNEYGODBY, WENDYSTRUCKMAN, JONIVESTAL-BOYCE, HEATHER

FAYETTE COUNTY 1717001 NEW RIVER HEALTH COAL CITY ELEFAYETTE COUNTY 1717001COOPER, CRYSTAL

FAYETTE COUNTY 1718001 NEW RIVER HEALTH COLLINS MIDDLFAYETTE COUNTY 1718001

FAYETTE COUNTY 1722001 NEW RIVER HEALTH OAK HILL HSFAYETTE COUNTY 1722001BOGGS, WHITNEYRUSKIN, MELODYWHITE, KERRI

FAYETTE COUNTY 1752001 NEW RIVER VALLEY SCHOOL BASEDFAYETTE COUNTY 1752001

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

FAYETTE COUNTY 1714001 NORTH FAYETTE FAMILY HEALTHFAYETTE COUNTY 1714001BOGGS, JOSHUABOYD, JENNIFERNEMATI, KIMBERLYSTRUCKMAN, JONI

GARRETT COUNTY 2136001 WVUH GARRETT MEDICAL GROUPGARRETT COUNTY 2136001JOHNSON, THOMASMURPHY, TIMOTHYSAVAGE GORALSKI, ELYZABETHSHEAFFER, CAROLYN

GARRETT COUNTY 2170001 WVUH GARRETT MEDICAL GROUPGARRETT COUNTY 2170001ALRWAILY, MUHAMMADGORALSKI, ROBERTHAWK, KENNETHMOORE, KRISTENSHEAFFER, CAROLYN

GREENBRIER COUNTY 2047001 ACCESSHEALTH WILLIAMSBURGGREENBRIER COUNTY 2047001FRIEDMAN, WENDY

GREENBRIER COUNTY 2183001 RAINELLE MEDICAL CENTER INCGREENBRIER COUNTY 2183001

GREENE COUNTY 2169001 WAYNESBURG PRIMARY CAREGREENE COUNTY 2169001DONLEY, DARRELLKRULL, JAMI

HARRISON COUNTY 1939001 ADAMSTON ELEMENTARY SCHOOL WELHARRISON COUNTY 1939001HURST, CYNTHIALARIMER, GENEVIEVE

HARRISON COUNTY 2008001 ALTERNATIVE LEARNING CTR WELLHARRISON COUNTY 2008001JSOEPH, NANCYNOLTE, CHRISTINA

HARRISON COUNTY 1926001 BIG ELM ELEMENTARY SCHOOL WELLHARRISON COUNTY 1926001NORTHEY, PHILLIPOSBORNE, AMY

HARRISON COUNTY 1940001 BRIDGEPORT HIGH SCHOOL WELLNESHARRISON COUNTY 1940001BARTLETT, KAYLA

HARRISON COUNTY 1946001 BRIDGEPORT MIDDLE SCHOOL WELLNHARRISON COUNTY 1946001BARTLETT, KAYLA

HARRISON COUNTY 2115001 BRIDGEPORT PHYSICIANS CAREHARRISON COUNTY 2115001HINKLE, STEPHANIEMANN, JOSALYNTOMES, LAURENWATKINS, RUTHANNE

HARRISON COUNTY 2108001 CLARKSBURG FAMILY MEDICINEHARRISON COUNTY 2108001BOWLES, WILLIAMRHODES, MAURICESINGZON, LEA

HARRISON COUNTY 1777001 COMM CARE OF CLARKSBURG EXPRESHARRISON COUNTY 1777001

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

BEE, LLOYDBROWN HEBB, AMYDANAVANT, KELLYDODRILL, MELISSAGAIN LUCAS, CHRISTYMOSS, JOANNANOLTE, CHRISTINAPAHRES, BRANDYPETERS, GREGORYSHRIVER, REBECCASIFORD, KARA

HARRISON COUNTY 1950001 COMMUNITY CARE OF BRIDGEPORTHARRISON COUNTY 1950001BROWN HEBB, AMYBROWN, SAVANNABRUBAKER, BRENDADUNAVANT, KELLYHAWKINBERRY, DENZILHINES, BENJAMINJUNKINS, KEVINKIDD, JASONROBINSON, BRANDISHERMAN, TRACYSHRIVER, REBECCA

HARRISON COUNTY 1941001 JOHNSON ELEMENTARY SCHOOL WELLHARRISON COUNTY 1941001BARLETT, KAYLA

HARRISON COUNTY 1942001 LIBERTY HIGH SCHOOL WELLNESSHARRISON COUNTY 1942001WINE, KIESHA

HARRISON COUNTY 1927001 LINCOLN HIGH SCHOOL WELLNESSHARRISON COUNTY 1927001

HARRISON COUNTY 1929001 LINCOLN MIDDLE AND HIGH SCHOOLHARRISON COUNTY 1929001JOSEPH, NANCYNORTHEY, PHILLIP

HARRISON COUNTY 1921001 LOST CREEK ELEMENTARY SCHOOLHARRISON COUNTY 1921001SMITH, STEPHANIE

HARRISON COUNTY 1928001 LUMBERPORT ELEMENTARY SCHOOLHARRISON COUNTY 1928001NORTHEY, PHILLIP

HARRISON COUNTY 1947001 MOUNTAINEER MIDDLE SCHOOL WELLHARRISON COUNTY 1947001LEMLEY, AUTUMNWINE, KIESHA

HARRISON COUNTY 1732001 MVA SHINNSTON MEDICAL CENTERHARRISON COUNTY 1732001DEVABHAKTHUNI, RAVIFLESHER, KRISTAODUNTAN MD, OMOBOLAPALIWAL, HIMANSHU

HARRISON COUNTY 1943001 NORTH VIEW ELEMENTARY SCHOOL WHARRISON COUNTY 1943001LEMLEY, AUTUMN

HARRISON COUNTY 1944001 NORWOOD ELEMENTARY SCHOOL WELLHARRISON COUNTY 1944001

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

HARRISON COUNTY 1930001 NUTTER FORT INTERMEDIATE WELLNHARRISON COUNTY 1930001HAZUKA, KELLY

HARRISON COUNTY 1932001 ROBERT C BYRD HS WELLNESS CTRHARRISON COUNTY 1932001HAZUKA, KELLYLEMLEY, AUTUMN

HARRISON COUNTY 1938001 SALEM ELEMENTARY SCHOOL WELLNEHARRISON COUNTY 1938001WINE, KIESHA

HARRISON COUNTY 2105001 SALEM FAMILY HEALTHCAREHARRISON COUNTY 2105001ALLEN, NANCYDAVIS, PAULHALDEMAN, LORIPENFOLD, ADAMWENTZ, RAETTA

HARRISON COUNTY 2111001 SHINNSTON HEALTH CAREHARRISON COUNTY 2111001DUBBERKE, LANCEPATRICK, SARAH

HARRISON COUNTY 1964001 SIMPSON ELEMENTARY SCHOOL WELLHARRISON COUNTY 1964001BARTLETT, KAYLA

HARRISON COUNTY 1923001 SOUTH HARRISON HIGH SCH WELLNEHARRISON COUNTY 1923001SMITH, STEPHANIE

HARRISON COUNTY 1922001 SOUTH HARRISON MIDDLE SCHOOLHARRISON COUNTY 1922001SMITH, STEPHANIE

HARRISON COUNTY 2101001 UHC FAMILY MEDICINEHARRISON COUNTY 2101001CASIWA, MARYCOURTNEY, SUZANNEGHERMAN, JILLHESS, ELIZABETHHOUTROUW, ANNA MARIERADCLIFFE, ERICSINGZON MD, VICTORICO

HARRISON COUNTY 2102001 UHC INTERNAL MEDICINEHARRISON COUNTY 2102001ANGOTTI, MICHAEL

HARRISON COUNTY 2007002 UNITED TECHNICAL CENTER WELL CHARRISON COUNTY 2007002DODRILL, MELISSAJOSEPH, NANCYNOLTE, CHRISTINA

HARRISON COUNTY 2107001 UPC BRIDGEPORT FAMILY HEALTHCAHARRISON COUNTY 2107001BAILEY, JAMESFRYER, STEPHENHARMAN, HAELEYHAWKINS, ERINMALONE, JAMESMURRAY, FRANCESNELSON, KELLY

HARRISON COUNTY 2106001 UPC BRIDGEPORT INTERNAL MEDICIHARRISON COUNTY 2106001ANGOTTI, JOHN

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

HARRISON COUNTY 2113001 UPC BRIDGEPORT PEDIATRICSHARRISON COUNTY 2113001COGAR, JANETKANE, JUDIEMITCHELL, BRADLEYMORRISON, KRISTIANSCHROCK, MICHAELYNWATSON, KAYLA

HARRISON COUNTY 2112001 UPC PEDIATRIC ASSOCAITESHARRISON COUNTY 2112001KROLL, MARYMOMEN, JOSEPHPOLICANO, BRIAN

HARRISON COUNTY 1933001 WASHINGTON IRVING MIDDLE SCHOOHARRISON COUNTY 1933001HAZUKA, KELLY

HARRISON COUNTY 2052001 WEST MILFORD COMMUNITY HEALTHHARRISON COUNTY 2052001ROSE, JENNIFER

HARRISON COUNTY 1924001 WEST MILFORD ELEMENTARY SCHOOLHARRISON COUNTY 1924001SMITH, STEPHANIE

HARRISON COUNTY 1595001 WEST MILFORD HEALTH CENTERHARRISON COUNTY 1595001BAKER, JOSHUABROWN HEBB, AMYDODRILL, MELISSADRENNEN, MATYAHAWKINBERRY, DENZILJOSEPH, NANCYKIDD, JASONSHERMAN, TRACY

HARRISON COUNTY 1945001 WILSONBURG ELEMENTARY SCHOOL WHARRISON COUNTY 1945001HURST, CYNTHIAWHITEHAIR, AIMEEWINE, KIESHA

JEFFERSON COUNTY 2096001 BMC JEFFERSON MEDICINE & PEDIAJEFFERSON COUNTY 2096001DAYAL, VIKRAMFENS, ALICE

JEFFERSON COUNTY 2120001 HARPERS FERRY FAMILY MEDICINEJEFFERSON COUNTY 2120001BALTIERRA, DAVIDBECKOM, CONSTANCECHERRY, ANGELADICKEY, SARAHARRIS, GEORGEHUMERICK, MADISONJONES, KRISTINLEWIS, WILLIAMLORENZETTI, ROSEMARIEMCLAUGHLIN, AARONPETRY, ANGELAPHILLIPS, SARAHROELKEY, JESSICASANA, SAIDSMITH, ELEANOR

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

WARD, RICHARDWHITMAN, CHRISTINEZAVALA, ADRIENNE

JEFFERSON COUNTY 2121001 WOMENS HEATLH & FAMILY MEDICINJEFFERSON COUNTY 2121001AEEMALADINNE, NIRUPAMABECKOM, CONSTANCEDEOL, KAMALFEAGA, CATHERINEJONES, KRISTINPETRY, ANGELAROELKEY, JESSICASANA, SAIDSPROUSE, GRETCHENWHITMAN, CHRISTINE

KANAWHA COUNTY 1618001 CABIN CREEK HEALTH CENTERKANAWHA COUNTY 1618001DOYLE, DANFIELDS, JILLGREEN, JAMIHANSEN, SARAHHUGHES, TIFFANYJACQUES, CHARLESLOVIN, KATHLEENMCCOLLEY, JESSICAMORRISON, RYANPORTZ, ASHLEYTIERNEY, LETITIAWESTFALL, SUE

KANAWHA COUNTY 1620001 CLENDENIN HEALTH CENTERKANAWHA COUNTY 1620001DRABISH, KERRYLOVIN, KATHLEENMCCOLLEY, JESSICAREUSTEL, PHILLIPSTICKLAND, EMILYTA, DONALDTIERNEY, LETITIA

KANAWHA COUNTY 2029001 FAMILYCARE-CHILDRENS MEDICINEKANAWHA COUNTY 2029001AYOUBI, SUSANCONLEY, HANNAHCROSS, KIMBERLYGROSE, BERNARDHOLSTEIN, ALLISONISTFAN, SHARONNICHOLAS, JANETHAKKER, CHANDRANI

KANAWHA COUNTY 1726001 FAMILYCARE-MARY C SNOW WESTKANAWHA COUNTY 1726001CONLEY, HANNAHHAIDER, ZEINAKNIGHT, SARAHMASILAMANI, SANJAY

KANAWHA COUNTY 1667001 FAMILYCARE-PATRICK STKANAWHA COUNTY 1667001BAILEY, MARYCILIBERTI, DEVIN

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

DUNCAN, AMBERFRAMPTON LICSW, ELIZABETHGIBSON, GRACEGONZALEZ, LISSAJENKINS, MARYKNIGHT, SARAHLINVILLE, LAURENMANESS, DANIELLEMONTALTO DO, NORMANPARCELL, KRISTASANDHU, UJJALSELANIK, VIRGINIATHOMAS, BREANNTICKLE, AMY

KANAWHA COUNTY 1668001 FAMILYCARE-ST ALBANSKANAWHA COUNTY 1668001AYOUBI, MOUTASSEMBAILEY MD, MARYCARPENTER, SHANNONDUNCAN, AMBERGIBSON, GRACEGRIGSBY, DAWNJENKINS, MARYKESSINGER, LINDAMURRINER, HOLLYRONEN MD, LEONSIPSY, LONNIESMITH, SUSANTHOMAS, BREANN

KANAWHA COUNTY 1629001 INDIAN HEALTH CENTERKANAWHA COUNTY 1629001

KANAWHA COUNTY 1744001 KANAWHA CITY HEALTH CENTERKANAWHA COUNTY 1744001BAILEY, KARENFALBO, GRACEJACQUES, CHARLESMORRISON, RYANROACH, MICHELEWESTFALL, SUE

KANAWHA COUNTY 1630001 PIONEER HEALTH CENTERKANAWHA COUNTY 1630001JACQUES, CHARLES

KANAWHA COUNTY 1619001 RIVERSIDE HEALTH CENTERKANAWHA COUNTY 1619001DOYLE, DANJACQUES, CHARLESKITCHEN, CATHERINELAMBERT, MELISSAMCCOLLEY, JESSICATA, DONALDTIERNEY, LETITIAWESTFALL, SUE

KANAWHA COUNTY 1621001 SISSONVILLE HEALTH CENTERKANAWHA COUNTY 1621001BURTON, DONNAFIELDS, JILLGREEN, JAMITIERNEY, LETITIA

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

WANDLING, SHANAWOODARD, NAFISEH

KANAWHA COUNTY 1687001 UPPER KANAWHA MEDICAL CENTERKANAWHA COUNTY 1687001FREEMAN, BRIDGETTHADLEY, JENNIFERSUMMERS, LISAWEIMER, MATHEW

KANAWHA COUNTY 2195001 WOMANCARE FAMILYCARE HLT CTKANAWHA COUNTY 2195001HAMILTON, RHONDA

KANAWHA COUNTY 2085001 WOMANCRE DBA FAMILYCARE HLT CTKANAWHA COUNTY 2085001FRAMPTON LICSW, ELIZABETHHAMILTON, RHODAKNIGHT, SARAHLISTERMANN, ERINMANESS, DANIELLENICHOLS, LEILAPARCELL, KRISTAPATEL, RITATHOMAS, BREANN

LEWIS COUNTY 1778001 COMMUNITY CARE OF WESTONLEWIS COUNTY 1778001BROWN HEBB, AMYCRESS, LYNDSIDIB, MARWANFARRY, KIMBLERLYHADDIX, JULIEJACKSON, STEPHANIEPETERS, GREGORYSHRIVER, REBECCATONKIN, ABIGAILTRINIDAD-CARILLO, IRIS MAE

LEWIS COUNTY 2158001 COMMUNITY CARE OF WESTON IILEWIS COUNTY 2158001BAKER, NICHOLASBROWN, SAVANNABRUBAKER, BRENDACLEMENS, RACHELFLINT, KATHERINEHUNTER, YOLANDAJUNKINS, KEVINLAMBERT, JENNIFERMOSS RANHART, JOANNAPETERS, GREGORYPHARES, BRANDYSIFORD, KARATONKIN, ABIGAILTRINIDAD-CARILLO, IRIS

LEWIS COUNTY 1986001 JANE LEW ELEMENTARY SCHOOL WELLEWIS COUNTY 1986001GOLDEN, LETITIARICE, JESSICA

LEWIS COUNTY 2069001 LEADING CREEK ELEMENTARY SCHOOLEWIS COUNTY 2069001

LEWIS COUNTY 1969001 PETERSON-CENTRAL ELEMENTARY SCLEWIS COUNTY 1969001

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

GOLDEN, LETITIARICE, JESSICA

LEWIS COUNTY 1970001 ROANOKE ELEMENTARY SCHOOL WELLLEWIS COUNTY 1970001GOLDEN, LETITIARICE, JESSICA

LEWIS COUNTY 1968001 ROBERT BLAND MIDDLE SCHOOL WELLEWIS COUNTY 1968001CRESS, LYNDSIGOLDEN, LETITIA

LEWIS COUNTY 2114001 UPC FAMILY MED CLN OF JANE LEWLEWIS COUNTY 2114001MILLS, ANGELASWISHER, FRANK

LINCOLN COUNTY 1685001 HARTS HEALTH CENTERLINCOLN COUNTY 1685001BRAMLEE, AMBERBROWNFIELD, AARON

LINCOLN COUNTY 1759001 VALLEY HEALTH HARTS ELEMENTARYLINCOLN COUNTY 1759001

LINCOLN COUNTY 2189001 VALLEY HEALTH SYSTEMSLINCOLN COUNTY 2189001HART, BUDDYSCHINDLER, SARAHWHITE, LEONARD

MARION COUNTY 1733001 EAST FAIRMONT HS WELLNESS CTRMARION COUNTY 1733001PALIWAL, HIMANSHURICHARDSON, CHESNEY

MARION COUNTY 2126001 FAIRMONT GATEWAY CENTERMARION COUNTY 2126001CECIL, MOLLIEGEORGE, SAIRAHILL, AMANDAHORNER, PHILIPHOTA, SRILEKHAROHRBOUGH, DANIELLE

MARION COUNTY 2141001 MARION MEDICAL ASSOCIATESMARION COUNTY 2141001ALASKY, DESIRAEROHRBOUGH, DANIELLESIMPSON, RICHARD

MARION COUNTY 2058001 MONONGAH ELEM SCH WELLNESS CTRMARION COUNTY 2058001RICHARDSON, CHESNEY

MARION COUNTY 2059001 MONONGAH MIDDLE SCH WELLNESS CMARION COUNTY 2059001RICHARDSON, CHESNEY

MARION COUNTY 1731001 MVA FAIRMONT CLINICMARION COUNTY 1731001BRENNAN, EDWARDCHEFREN, DANIELLECOFFMAN, SUZANNEDEVABHAKTHUNI, RAVIFLESHER, KRISTAHALL MD, RYANHALL, SARAHMOON, STEPHEN

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

ODUNTAN, OMOBOLAPALIWAL, HIMANSHUPATEL, PRAVINPATI, SMITHARICHARDSON, CHESNEYSATTERFIELD, DANASCHROERING, MICHAELTAYLOR, JESSICATOOTHMAN, CANDIAVANGALA, SEETA

MARION COUNTY 2057001 MVA MANNINGTONMARION COUNTY 2057001BRENNAN, EDWARDFLESHER, KRISTATOOTHMAN, CANDIS

MARION COUNTY 1734001 NORTH MARION HS WELLNESS CTRMARION COUNTY 1734001BRENNAN, EDWARDPALIWAL, HIMANSHURICHARDSON, CHESNEYVANGALA, SEETA RAM

MARION COUNTY 2104001 UPC WHITEHALL MEDICALMARION COUNTY 2104001AKERS, SHANNALILLEY, MICHELEMARSH, CHADVASICEK, RICHARDWILLIAMS, JOEL

MARSHALL COUNTY 2116001 UPC GLEN DALE PEDIATRICSMARSHALL COUNTY 2116001DURKIN, ALLISONHESS, MICHELLEWASMUTH, KATRINA

MASON COUNTY 1696001 VALLEY HEALTH GALLIPOLIS FERRYMASON COUNTY 1696001

MASON COUNTY 1697001 VALLEY HEALTH PT PLEASANT PEDSMASON COUNTY 1697001BARTRAM, MEGAN

MINERAL COUNTY 2153001 POTOMAC VALLEY HOSPITALMINERAL COUNTY 2153001

MINGO COUNTY 1699001 STEPPTOWN COMMUNITY HEALTH CTRMINGO COUNTY 1699001

MONONGALIA COUNTY 2162001 CHEAT LAKE PHYSICIANSMONONGALIA COUNTY 2162001

MONONGALIA COUNTY 2167001 CLAY-BATTELLE HEALTH SERVICESMONONGALIA COUNTY 2167001

MONONGALIA COUNTY 2132001 MORGANTOWN SOUTHMONONGALIA COUNTY 2132001ALCANTARA, FREDERICKCOOPER, MELINDADOYLE, GREGORYHAGGERTY, TREAHKING, DANAMAROON, MICHAELSELBY, JOSEPH

MONONGALIA COUNTY 2127001 STUDENT HEALTH HEALTH EDUC BLDMONONGALIA COUNTY 2127001BECK, BETH

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

GEORGE, SAIRAJIN, CHUANFANGMINCHAU, ELIZABETHMINER, AMYMOYERS, AMYONEAL, DEBORAHPEKLINSKY, JASON

MONONGALIA COUNTY 2143001 UNIVERSITY TOWN CENTREMONONGALIA COUNTY 2143001BRUNNER, MATTHEWBRUNNER, NANCYCLARK, KARENCOSTELLO, LISADARBANDI, KOKABDARRAGH, CORAEDDY, LORIFERRARI, NORMANGANNON, KELLEYHALBRITTER, KEVINHARVEY, BRYCEISSA, MAYADAKHAN, NADIAKINCAID, CHRISTINEKOLAR, MARIALEFEBER, TIMOTHYMILLER, AUDREYNEASE, EMILYNICOLA, AMANDAOTTOBRE, ANITAPELLEGRINO, RONALDSHAMSI, ROHMASMITH, MELINDAWILLIAMS, JOYWILSON, TRACIZEMERICK, CYNTHIA

MONONGALIA COUNTY 2133001 UNIVERSITY TOWN CENTRE-SLEETHMONONGALIA COUNTY 2133001ARBOGAST, JAMESBARNES, EMILYBODKINS, ERIKADATTOLA, RICHARDDELAGARZA, VINCENTDOYLE, GREGORYFITZPATRICK, KARENHAGGERTY, TREAHHARRISON, NATASHAKING, DANAKROLL, COLLEENMAROON, MICHAELMCBEE, KELLYMCCREADY, NATALIEMINCHAU, ELIZABETHMONTELEONE, GAETANOMOYERS, AMYORESKOVICH, JASONPECKENS, SHAYLEEPEKINSKY, RACHELLEPEKLINSKY, JASON

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

PETITTE, TRISHAPHILLIPS, MELODYSELBY, JOSEPHSHRADER, CARLSNYDER, CHRISTINETHEEKE, LAURIEUNGER, KENDRAWILLIAMS, DORIANYEDNOCK, JOEL

MONONGALIA COUNTY 2103001 WVU CHEAT LAKE PHYSCIANSMONONGALIA COUNTY 2103001ALLEMAN, MELISSAGIBSON, RADINELARKIN, EMILYMOOREHEAD, BENJAMINOBERTANCE, EMILYTROISCHT, MEGAN

MONONGALIA COUNTY 2147001 WVU MEDICINE CRANBERRY SQUAREMONONGALIA COUNTY 2147001

MONONGALIA COUNTY 2135001 WVU MEDICINE SUNCREST TOWNE CEMONONGALIA COUNTY 2135001

MONONGALIA COUNTY 2130001 WVUH PHYSICIAN OFFICE CENTERMONONGALIA COUNTY 2130001ALVI, MUHAMMADBRANT, RICHARDBRUNNER, MATTHEWBURNER, KAYLEIGHCOUP, TRACYDARBANDI, KOKABDOYLE, GREGORYEDDY, LORIFERRARI, NORMANGILLESPIE, STACEYHALBRITTER, KEVINISSA, MAYADAJOHN, COLLINKANDZARI, STANLEYKING, DANALANCASTER, JEFFREYLERFALD, NATHANMCBEE, KELLYMORLEY, HILARYMOTT, CHRISTINEMURRAY, PAMELANARUMANCHI, JANANINEASE, EMILYNIELD, LINDAONDREJKO, SHERYLPALMER, HUGHPAUGH, JACLYNPELLEGRINO, RONALDREECE, JOSPHINESAGGIO, RENEESHOCKCOR, WILLIAMSOFKA, SARAHSPERRY, JEANNIESTARK, LINDATHEEKE, LAURIE

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

VIJAY, CHICKAJAJURWARDEN, MARYWELSH, JESSICAWILLIAMS, JOYYEDNOCK, JOELZAVALA, ADRIENNEZEMERICK, CYNTHIA

NICHOLAS COUNTY 1724001 NEW RIVER HEALTH SUMMERSVILLENICHOLAS COUNTY 1724001

NICHOLAS COUNTY 2066001 SUMMERSVILLE WOMENS HEALTH CENNICHOLAS COUNTY 2066001ANDREWS, KARINNABUSH, STEPHENDEPOND, ROBERTDIETZ, PAULMONTGOMERY, EMILY

POCAHONTAS COUNTY 1675001 COMMUNITY CARE OF GREEN BANKPOCAHONTAS COUNTY 1675001BROWN HEBB, AMY

POCAHONTAS COUNTY 1901001 COMMUNITY CARE OF HILLSBOROPOCAHONTAS COUNTY 1901001BROWN HEBB, AMY

POCAHONTAS COUNTY 1673002 COMMUNITY CARE OF MARLINTONPOCAHONTAS COUNTY 1673002BROWN HEBB, AMYRHODES, JOSHUAROSE, JENNIFER

POCAHONTAS COUNTY 1948001 COMMUNITY DENT CARE OF GREEN BPOCAHONTAS COUNTY 1948001ABBOTT, LAURAABBOTTT, JOSHUA

POCAHONTAS COUNTY 1915001 GREEN BANK ELEMENTARY-MIDDLEPOCAHONTAS COUNTY 1915001TAYLOR, RACHEL

POCAHONTAS COUNTY 1916001 MARLINTON ELEMENTARY SCHOOLPOCAHONTAS COUNTY 1916001TAYLOR PA C, RACHEL

POCAHONTAS COUNTY 1935001 MARLINTON MIDDLE SCHOOL WELLNEPOCAHONTAS COUNTY 1935001TAYLOR, RACHEL

POCAHONTAS COUNTY 1917001 POCAHONTAS CO HIGH SCHOOL WELLPOCAHONTAS COUNTY 1917001LUDROSKY, JENNIFERSKIDMORE, BRIDGETTAYLOR, RACHEL

POCAHONTAS COUNTY 1782001 POCAHONTAS MEMORIAL HOSP RHCPOCAHONTAS COUNTY 1782001HARE, JULIEJEFFRIES, JUSTINLIDEL-BURLEY, DONNAMANN, CINDYMONICO, VALARIETHORNE, ALANWOODY, DELINDA

PUTNAM COUNTY 1666002 FAMILYCARE-ELEANORPUTNAM COUNTY 1666002GIBSON, GRACEGRIGSBY, DAWN

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

JEFFRIES, RACHELEKESSINGER, LINDAPACK, CURTISPETERS, GLENNISSANDHU, UJJAL

PUTNAM COUNTY 1727001 FAMILYCARE-TEAYS VALLEYPUTNAM COUNTY 1727001BAILEY MD, MARYBUKOVINSKY, CHARLESCADLE ADAMS, KATHRYNCILIBERTI, DEVINCONLEY, HANNAHDUNCAN, AMBERFERGUSON, ANGELAFRAMPTON, ELIZABETHGIBSON, GRACEGONZALEZ, LISSAGROSE, BERNARDHAIDER, ZEINAJENKINS, MARYJFFFRIES, RACHELEJORDAN, HOLLYKNIGHT, SARAHKOSA, MICHELLELINVILLE, LAURENMANESS, DANIELLEMURRINER, HOLLYOWUSU, LELAPACK, CURTISPETERS, GLENNISRONEN MD, LEONSCHNATZ DO, REBECCASELANIK, VIRGINIASLOAN DO, CLINTONSPANGLER, PHILLIPSUTTON, MARSHATHOMAS, BREANNWEBB, CHRISTINAWILSON, LAHOMA

PUTNAM COUNTY 1965001 HARVEY FAMILY MEDICINE PLLCPUTNAM COUNTY 1965001HARVEY, HYLATHACKER, TERESA

PUTNAM COUNTY 1738001 INTERNAL MEDICINE OF PUTNAMPUTNAM COUNTY 1738001AL-ASTAL, AMRONITARDY, WILLIAM

PUTNAM COUNTY 2064001 MARSHALL FAMILY MEDICINE-TEAYSPUTNAM COUNTY 2064001PETERSON, RANDALLTURNER, SARAH

PUTNAM COUNTY 1743001 PEDIATRICS OF TEAYS VALLEYPUTNAM COUNTY 1743001COTTRILL, NORMANDEWESE, CHRISTOPHERTHOMPSON, LAURENWALKER, SARA

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

PUTNAM COUNTY 2054001 UNIVERSITY PHYSICIANS & SURGEOPUTNAM COUNTY 2054001ANDERSON, RYANBROWNFIELD, JAREDCAMPBELL, YOLANDACHAFFIN, DAVIDCONAWAY, KEVINCOTTRILL, NORMANDEWESE, CHRISTOPHEEL-HAMDANI, MEHAIRFERGUSON MD, PAULFIELDS, JENNIFERHANIF, SAMRINAJASKO, JOHNJOHNSON, KELLYKHAWAJA MD, IMRANKHTHIR MD, RODHANKLIMEK, DEBORAHKNOWLES, PAULLAVENDER, CHADLOZOWSKA, DOMINIKANICELER, BROCKNITARDY MD, WILLIAMNOLTE, JUSTINOKHUMALE, PAULOLAJIDE, ADENRELEOLAJIDE, OMOLOLARADUCAN, VIORELSHAH MD, SONASHIVKUMAR, VIKRAMTHOMPSON, LAURENVAUGHAN, NATHAN

PUTNAM COUNTY 1761001 VALLEY HEALTH POCA HIGH SCHOOLPUTNAM COUNTY 1761001

PUTNAM COUNTY 1690001 VALLEY HEALTH SYSTEMS HURRICANPUTNAM COUNTY 1690001BAILEY, SHELLEYBROWNFIELD, AARONCROCKETT, TIERRAGOODRICH, SHEAHADLEY, JENIFERLEVINE, LEIGHMASILAMANI, SANJAYMAXEY, SHANNONOXLEY, KIMBERLYROSS, BRITNISTROW, MISTYSUMMERS, LISA

PUTNAM COUNTY 1893001 VALLEY HEALTH TEAYS VALLEYPUTNAM COUNTY 1893001BRAMLEE, AMBERHADLEY, JENIFER

PUTNAM COUNTY 1760001 VALLEY HLTH LAKESIDE ELEMENTARPUTNAM COUNTY 1760001

PUTNAM COUNTY 1665001 WOMENCARE WOMEN S HEALTH & BIRPUTNAM COUNTY 1665001CILIBERTI, DEVINLISTERMANN, ERINNICHOLS, LEILA

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PEIA CCP DIRECTORY ADDENDUM JULY 03, 2018

PARCELL, KRISTATHOMAS, BREANN

RALEIGH COUNTY 2048001 ACCESSHEALTH BILL BAKER WAYRALEIGH COUNTY 2048001DOWDY, AMYKINCAID, CHRISTOPHERWORKMAN, CALEB

RALEIGH COUNTY 2043001 ACCESSHEALTH DANIELSRALEIGH COUNTY 2043001BALLARD, KIMBERLYBLANKENSHIP, JAMIEBROWN, AMYFINK, RODNEYTHYMIUS, TIFFANY

RALEIGH COUNTY 2042001 ACCESSHEALTH GLEN DANIELRALEIGH COUNTY 2042001BREHM, JULI

RALEIGH COUNTY 2046001 ACCESSHEALTH MABSCOTTRALEIGH COUNTY 2046001BEMBALKAR, SHRIKANTCOLE, BILLYPENDLETON, ANGELASALON, ELYJEANVILLANUEVA, IDA

RALEIGH COUNTY 2040001 ACCESSHEALTH RURAL ACRESRALEIGH COUNTY 2040001BENNETT, KIMDICKENSON, STACEYMOHAN, PETAIAHMOHAN, SARASWATHIMUSCARI, KYLEWALKER, JOHNNY

RALEIGH COUNTY 2045001 ACCESSHEALTH STANAFORDRALEIGH COUNTY 2045001LOSTETTER, SCOTTMEADOWS, RICHARD

RALEIGH COUNTY 2044001 ASSOCIATES IN WOMENS HEALTHRALEIGH COUNTY 2044001BAILEY, RAEJEREZA-HARRIS, GINAKHALIL, MARCIALINDLEY, JUDDSON DRAINEY, DAVIDRESLEY, TODDSIEGEL, NORMANWEBB, MICHAELWOLFE, ROY

RALEIGH COUNTY 1715001 GULF FAMILY PRACTICERALEIGH COUNTY 1715001COFFEY, KATHERINEGOLDEN, JOSEPHMILLER, JEREMIAH

RALEIGH COUNTY 1716001 GULF FAMILY PRACTICE IIRALEIGH COUNTY 1716001COOPER, CRYSTAL

RALEIGH COUNTY 1719001 NEW RIVER HEALTH INDEPENDENCERALEIGH COUNTY 1719001STRUCKMAN, JONI

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RALEIGH COUNTY 1720001 NEW RIVER HEALTH MOUNT HOPERALEIGH COUNTY 1720001THOMAS, SAVANNAVESTAL-BOYCE, HEATHER

RANDOLPH COUNTY 1226001 CURRENCE, DAVID JRANDOLPH COUNTY 1226001

RANDOLPH COUNTY 2166001 DIRECT CARE OF ELKINSRANDOLPH COUNTY 2166001BLACK, KARABONNER, MADONNADAVIS, LISAMAYNARD, MATTHEWROY, JINASTALNAKER, DANIEL

RANDOLPH COUNTY 2175001 DMC CLINICSRANDOLPH COUNTY 2175001BATSENIKOS, JOSETTEBENAVIDES, NATASHABIOLA, JOHANNACHUA, CATHERINEGAINER, JAMESGONGOLA, JAYMEPENNINGTON, AMANDAPHILLIPS-LEE, MISHASHOEMAKER, CHRISTIESTREETS, MICHELLETONEY, STEVEN

RANDOLPH COUNTY 2178001 HUMMER, TERRY SRANDOLPH COUNTY 2178001

RANDOLPH COUNTY 1674001 LITTLE MEADOW HEALTH CENTERRANDOLPH COUNTY 1674001BROWN HEBB, AMYCARPENTER, CRISTYWOOLWINE, VICTORIA

RANDOLPH COUNTY 2185001 ROBERTS, SAMUEL KRANDOLPH COUNTY 2185001

RANDOLPH COUNTY 2179001 VALLEY HEALTH CARERANDOLPH COUNTY 2179001ANGER, ERICANGER, RACHELARBOGAST, ALEISHAAUBLE, DEBRABOYD, MARYBRAGG, BETHCAMPBELL, COTYCOX, JAMIEDAVENPORT, GARYFARLEY, CAMERONFRAME, STEPHANIEGORBY, BRUCEHADDIX, PATRICIALAMBERT, JENNIFERLEACH, DENISELEHMANN, JOHNNASHOMO, SCOTTTETER, DONIELLEVARIAN-MAUZY, ASHLEYWILLIAMS, CAROL

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RITCHIE COUNTY 2110001 PENNSBORO MEDICAL CENTERRITCHIE COUNTY 2110001NUTTER, JOANN

TAYLOR COUNTY 2117001 PINEWOOD MEDICAL CENTERTAYLOR COUNTY 2117001FARNSWORTH, MARKLIPSCOMB, JUDYWATERS, ALLISON

TUCKER COUNTY 2184001 ST GEORGE MEDICAL CLINIC INTUCKER COUNTY 2184001

UPSHUR COUNTY 1913001 BUCKHANNON ACADEMY ELEMENTARYUPSHUR COUNTY 1913001DODRILL MD, MELISSAHURST, CYNTHIA

UPSHUR COUNTY 1934001 BUCKHANNON UPSHUR MIDDLE SCHOOUPSHUR COUNTY 1934001BARNETT, SEANCRESS, LYNDSILARIMER, GENEVIEVE

UPSHUR COUNTY 1920001 BUCKHANNON-UPSHUR HIGH SCHOOLUPSHUR COUNTY 1920001BARNETT, SEANLARIMER, GENEVIEVE

UPSHUR COUNTY 2006001 COMMUNITY CARE OF BUCKHANNONUPSHUR COUNTY 2006001ANDREWS, ALLYSONBAKER, JOSHUACOLLETT, PATRICIACRESS, LYNDSIGERARD, WENDYPETERS, GREGORYTRINIDAD-CARILLO, IRIS MAEWHITEHAIR, AIMEE

UPSHUR COUNTY 0696001 COMMUNITY CARE OF WVUPSHUR COUNTY 0696001BENNETT, SARITACHOUINARD, SARAHCHUA-DILLY, SARACOLLETT, PATRICIADODRILL, MELISSAKIRCHDOERFER, ELAINEKIRK, MICHAELKIRSHDOERFER, ELAINELEMLEY, AUTUMNMACE, KELLYONISHI, NORIHITOROSE, JENNIFERTRINIDAD-CARILLO, IRIS MAEWHITEHAIR, AIMEE

UPSHUR COUNTY 2024001 COMMUNITY CARE OF WVUPSHUR COUNTY 2024001

UPSHUR COUNTY 2165001 DAVIS MEDICAL CENTERUPSHUR COUNTY 2165001BUTLER, GARRETTKUCK, BRITTNEYPOLING, THERESATHORPE, KESSA

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UPSHUR COUNTY 1914001 FRENCH CREEK ELEMENTARY SCHOOLUPSHUR COUNTY 1914001BARNETT, SEANDODRILL, MELISSA

UPSHUR COUNTY 2097001 MEDICAL PLAZA-INTERNAL MEDICINUPSHUR COUNTY 2097001BROWN, BARTLEYJONES, AMANDA

UPSHUR COUNTY 2100001 PHYS OFFICE CTR 1 FL-FAMILY MEUPSHUR COUNTY 2100001OLOUGHLIN, GERARDSNYDER, AMANDA

UPSHUR COUNTY 2098001 PHYS OFFICE CTR 2 FL-FAMILY MEUPSHUR COUNTY 2098001CHUA, SARACOFFMAN, AMYDEPOY, JENNIFER

UPSHUR COUNTY 2099001 THE PHYSICIANS OF ST JOSEPHUPSHUR COUNTY 2099001HACKNEY, MARYPEARSON, AMYROMANO, ROBERTSEITZ, DANIELLE

UPSHUR COUNTY 2159001 THE PHYSICIANS OF ST JOSEPHUPSHUR COUNTY 2159001

UPSHUR COUNTY 1613001 TRI COUNTY HEALTH CLINIC INCUPSHUR COUNTY 1613001ANDREWS, ALLYSONBARNETT, SEANBROWN HEBB, AMYCARPENTER, CRISTYKIRCHDOERFER, ELAINELEONARD, RAYMONDPETERS, GREGORYSIFORD, KARATRINIDAD-CARILLO, IRISWARD, JENNAWHITEHAIR, AIMEE

WALDO COUNTY 0660001 NEW RIVER HEALTH ASSOCIATIONWALDO COUNTY 0660001DOYLE, DANIELGOLDEN, JOSEPHMIRZA, ABDUL

WAYNE COUNTY 1891001 CHH WAYNE FAMILY MEDICAL CENTEWAYNE COUNTY 1891001CHAPMAN, KELLYCREMEANS, GARYJUSTICE, LINDALEMASTER JR MD, RONALDSTEELE, KATHERINE

WAYNE COUNTY 1736001 FAMILY MEDICINE OF LAVALETTEWAYNE COUNTY 1736001FRANKS, ADAMMCCANN, KEVIN

WAYNE COUNTY 1700001 FORT GAY HEALTH CENTERWAYNE COUNTY 1700001BENNETT-BECKLEY, MOLLYMAYNARD, STEPHANIESHANNON, SARAH

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WAYNE COUNTY 1693001 SPRING VALLEY HEALTH CENTERWAYNE COUNTY 1693001

WAYNE COUNTY 2022001 VALLEY HEALTH WAYNEWAYNE COUNTY 2022001DISTEFANO, ELIZABETHLANE, ARTINAWHITMORE, DANIEL

WAYNE COUNTY 1695001 VALLEY HEALTH WESTMORELANDWAYNE COUNTY 1695001LEVINE, LEIGH

WAYNE COUNTY 1701001 WAYNE HEALTH SERVICE INCWAYNE COUNTY 1701001BOOTH, RICHARD

WAYNE COUNTY 2186001 WAYNE HEALTH SERVICES MUWAYNE COUNTY 2186001LANE, ARTINAWHITMORE, DANEILWHITMORE, DAVID

WAYNE COUNTY 1694001 WAYNE HIGH HEALTH CENTERWAYNE COUNTY 1694001

WOOD COUNTY 2087001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2087001ALLMAN, JOANCHESHIRE, MICHAEL

WOOD COUNTY 2088001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2088001ALLMAN, JOANCARTWRIGHT, WILLIAMCRAMER, DAVIDHANNA, STEPHANHULL, BRIAMOYERS, JANETOLSON, GABRIELLA

WOOD COUNTY 2089001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2089001ALLOWAY, SHAWNAMILHOAN, STEVAN

WOOD COUNTY 2090001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2090001BROOKS, DOUGLAS

WOOD COUNTY 2091001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2091001EDMAN, KATIEGRUMP, STACIESHREVE, JESSICA

WOOD COUNTY 2092001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2092001GAYHEART, REBECCAKUPPUSWAMY, BAIRAVASLUSHER, MANDY

WOOD COUNTY 2093001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2093001HENDERSHOT, TRACYRUGEL-AIZPRU, MARCELA

WOOD COUNTY 2095001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2095001KUPPUSWAMY, BAIRAVA

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WOOD COUNTY 2161001 CAMDEN CLARK PHYSICIAN CORPWOOD COUNTY 2161001MURRAY, PAMELA

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