Unknown Individual – Emergency Medicine Physician, NPI 1982676136
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2019-09-19. Reason: Conviction of program-related crimes (mandatory; min. 5 years).
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
420 SILVER BRIDGE PLZ
GALLIPOLIS, OH 456311861
Phone: (740) 446-4600
Fax: (740) 446-2944
Type: Location
3501 Belle Terre Blvd Ste A1
Myrtle Beach, SC 295798407
Phone: (843) 231-4066
Type: Location
705 Washington St
Ravenswood, WV 261641729
Phone: (304) 868-6000
Type: Location
8310 KY RTE 321 S
Hager Hill, KY 412224122
Phone: (606) 889-1601
Fax: (606) 889-1601
Type: Location
557 Main St
Logan, WV 256013809
Phone: (304) 752-3435
Type: Location
1238 Middle Fork Rd
Inez, KY 41224
Phone: (606) 298-4000
Type: Location
601 20th St
Huntington, WV 257031512
Phone: (304) 429-1088
Fax: (304) 429-3109
Type: Location
390, Clay Pitts Road, Huntington, Suffolk County, New York, 11731, United States
HUNTINGTON, WV 257080390
Phone: (304) 781-0076
Fax: (304) 781-0216
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45631)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.