Individual provider Active NPI

Edward Adamovich, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Wheeling, WV
National Provider Identifier
1083717110
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
17973 Issued in WV
Practice address
Wheeling Hospital Inc
1 Medical Park
Wheeling, WV 26003
Phone
(304) 243-3124
NPI assigned
Sep 6, 2006
Last updated
Jan 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 17973 WV Primary

Addresses

Primary practice location

Wheeling Hospital Inc
1 Medical Park
Wheeling, WV 26003

Mailing address

4 Augustwood
Wheeling, WV 26003-6671
Phone (304) 233-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000976 WV Practitioner - Pathology 9133263320

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Boston University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17973WVMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Community Hospital, Inc. CurrentSince Mar 21, 2018 Accepting new patients
Wheeling Hospital Inc CurrentSince Sep 6, 1994 Accepting new patients
Belmont County Health Services Inc CurrentSince Mar 21, 2018 Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

63 Highway 7 S
Powhatan Pt, OH 43942
Phone (740) 795-4505

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1083717110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AUGUSTWOOD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036671",
            "telephone_number": "304-233-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WHEELING HOSPITAL INC",
            "address_2": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-243-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOVICH",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WV",
            "license": "17973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.