Whitehall Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5100942930 Issued in WV

Legal business name

WHITEHALL MEDICAL PLLC

Doing business as

Richard E Vasicek

Practice address

60 Roxbury Road
White Hall, WV 26554-3430

Phone

(304) 363-6600

Fax

(304) 363-7700

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard E VasicekNPI 1316037146

Title

Member Single Owner

Phone

(304) 363-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard E Vasicek Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard E Vasicek, DO

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1316037146
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659585263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROXBURY ROAD",
            "city": "WHITE HALL",
            "state": "WV",
            "postal_code": "265543430",
            "telephone_number": "304-363-6600",
            "fax_number": "304-363-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ROXBURY ROAD",
            "city": "WHITE HALL",
            "state": "WV",
            "postal_code": "265543430",
            "telephone_number": "304-363-6600",
            "fax_number": "304-363-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASICEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER SINGLE OWNER",
        "authorized_official_telephone_number": "304-363-6600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "5100942930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006289",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard E Vasicek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mon Health Marion Neighborhood Hospital, Inc.
• Ahmed Mourad
• Sandra K Cunningham, DC
• Riley Paige Skeens
• United Hospital Center, Inc.
• Christine Louise Zeltner, LMT

• Family Medicine Physician in White Hall, WV
• Providers in White Hall, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.