Apogee Medical Group, West Virginia, PLLC
Organization Active NPI General Practice Physician · Logan, WV
NPI 1669708442 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1669708442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- APOGEE MEDICAL GROUP, WEST VIRGINIA, PLLC
- Practice address
- 20 Hospital Dr
Logan, WV 25601-3452 - Phone
- (304) 831-1643
- NPI assigned
- Oct 28, 2009
- Organization subpart
- No
Authorized official
- Name
- Kevin Gregory
- Title
- Cio
- Phone
- (602) 778-3600
Practitioners 114
-
Carissa Ann Bennett, NP-C
-
Raelyn Jade Carr, FNP-BC
-
Staci Diane Johnson Knight, FNP-C
-
Radhakrishna Kukkillaya, M.D.
-
Tinashe Blessings Kwenda, FNP-BC
-
Tanya Ann Maddy, NP-C
-
Michelle Ebiye Oye, D.O.
-
Kenneth Sells, DO
-
Anthony Toparis, DO
-
Michelle N Akiko, MD
-
Virginie Auguste, M.D.
-
Olva Olishia Bess, M.D
-
Bahaa Ali Elzein, MD
-
Kosisochukwu Jude Ezeh, M.D.
-
Hakan Gelincik, MD
-
Brijesh Ghimire, MD
-
Mario Helou, MD
-
Amsha Ilyas, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100209000644 | WV | Part B Supplier - Clinic/Group Practice | 0941343255 |
Receives reassigned benefits from 113 practitioners Practice locations: Beckley, WV; Logan, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
20 Hospital Dr
Logan, WV 25601-3452
Mailing address
PO Box 708760
Sandy, UT 84070-8760
Phone (972) 269-1897
Other providers in Logan, WV
- All Med LLC
- Sheila Ann Allen
- Alpha Omega Medical PLLC
- Michael Altizer
- Jerry Anderson
- Appalachia Pathology Consultants LLC
- Appalachian Addiction Medical PLLC
- Appalachian Medical LLC
- Appalachian Regional Healthcare, Inc.
- Appalachian Regional Healthcare, Inc.
All providers in Logan, WV · General Practice Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.