Individual provider Active NPI

Taylor Raeanne Hair

  • Physician Assistant
  • Wheeling, WV
National Provider Identifier
1649096330
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2989 Issued in WV
Practice address
1100 Main St Ste 104
Wheeling, WV 26003-2737
Phone
(304) 513-3495
NPI assigned
Nov 26, 2024
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2989 WV Primary
Physician Assistant 363A00000X 50.009346RX OH

Addresses

Primary practice location

1100 Main St Ste 104
Wheeling, WV 26003-2737

Mailing address

69 Stone Creek Rd
Colliers, WV 26035-1538

Other practice location 1

380 Summit Ave Fl 2
Steubenville, OH 43952-2667
Phone (740) 283-7882

Other practice location 2

310 American Way Ste A
Weirton, WV 26062-4083
Phone (304) 797-6410

Other identifiers 2

IdentifierTypeStateIssuer
1649096330MedicaidWV
0108827MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250331001928 OH Practitioner - Physician Assistant 1153844113
I20250714001999 PA Practitioner - Physician Assistant 1153844113 Reassigns benefits to 1 organization
I20250828005527 WV Practitioner - Physician Assistant 1153844113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Pittsburgh School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians
Cognitive Medicine Practice PLLCGroup PAC ID 8527242759, 10 clinicians

Practice addresses (Care Compare)

1100 Main St
Suite 104
Wheeling, WV 26003-2737
Phone (304) 460-5123

310 American Way
Suite a
Weirton, WV 26062-4083
Phone (304) 797-6518

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Hospital Holding Company CurrentSince Apr 22, 2025 Accepting new patients
Trinity West CurrentSince Apr 22, 2025 Accepting new patients
Washington Physician Services Physician Assistant CurrentSince Jun 23, 2025 Accepting new patients
GR&W, Inc CurrentSince Apr 13, 2026 Accepting new patients

Locations

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

380 Summit Ave
Fl 2
Steubenville, OH 43952
Phone (740) 283-7882

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

95 Leonard Ave
Bldg 2
Washington, PA 15301
Phone (724) 223-3100

95 Leonard Ave
Ste 301
Washington, PA 15301
Phone (724) 225-7300

220 Greene Plz
Rear
Waynesburg, PA 15370
Phone (724) 627-2756

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 218-9405

Organizations & group practices 5

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 1

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": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1649096330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 STONE CREEK RD",
            "city": "COLLIERS",
            "state": "WV",
            "postal_code": "260351538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAIN ST STE 104",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032737",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Summit Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522667",
            "country_code": "US",
            "telephone_number": "740-283-7882",
            "fax_number": "740-283-7853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 American Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260624083",
            "country_code": "US",
            "telephone_number": "304-797-6410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIR",
        "first_name": "TAYLOR",
        "middle_name": "RAEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-26",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2989",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009346RX",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649096330",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108827",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.