Wheeling Hospital Inc
Organization Active NPI Family Medicine Physician · Dillonvale, OH
NPI 1780043372 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1780043372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WHEELING HOSPITAL INC
- Practice address
- 72562 State Route 250
Dillonvale, OH 43917 - Phone
- (740) 738-0020
- Fax
- (740) 738-0625
- NPI assigned
- Feb 11, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- WHEELING HOSPITAL INC
Authorized official
- Name
- Janice Elaine Riesmeyer
- Title
- Credentialing Coordinator
- Phone
- (304) 243-3124
Other NPIs on the same Medicare enrollment 18
Practitioners 1
-
Maheshwar R. Musunuri, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
National Provider Directory
- Part of
- Wheeling Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
- Colerain Health Center
Other providers in Dillonvale, OH
All providers in Dillonvale, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. 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.