NPIMap

Organization Active NPI

Wheeling Hospital Inc

Doing business as Colerain Health Center

  • Family Medicine Physician
  • Dillonvale, OH
National Provider Identifier
1780043372
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHEELING HOSPITAL INC
Doing business as
Colerain Health Center
Practice address
72562 State Route 250
Dillonvale, OH 43917
Phone
(740) 738-0020
Fax
(740) 738-0625
NPI assigned
Feb 11, 2016
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WHEELING HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Janice Elaine Riesmeyer
Title
Credentialing Coordinator
Phone
(304) 243-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

72562 State Route 250
Dillonvale, OH 43917

Mailing address

1 Medical Park Business Office NTTC
Janice Riesmeyer
Wheeling, WV 26003-6379
Phone (304) 243-3124

Other names 1

  • Colerain Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000220 OH Part B Supplier - Clinic/Group Practice 5799689493 Receives reassigned benefits from 95 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clairsville, OH; Steubenville, OH; Shadyside, OH; Martins Ferry, OH; Dillonvale, OH; Cadiz, OH; Bridgeport, OH; Bellaire, OH…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Part of
Family Health Center

Locations

51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1780043372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BUSINESS OFFICE NTTC",
            "address_2": "JANICE RIESMEYER",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3124",
            "fax_number": "304-243-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72562 STATE ROUTE 250",
            "city": "DILLONVALE",
            "state": "OH",
            "postal_code": "43917",
            "telephone_number": "740-738-0020",
            "fax_number": "740-738-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEELING HOSPITAL INC",
        "enumeration_date": "2016-02-11",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "RIESMEYER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "304-243-3124"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colerain Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colerain Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillonvale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.