GREENBRIER VALLEY RADIATION ONCOLOGY, PLLC (NPI# 1184667826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184667826 |
| Entity Type | Organization |
| Organization Name | GREENBRIER VALLEY RADIATION ONCOLOGY, PLLC |
| Practice Address |
187 Skylar Drive Fairlea WV 24901-9359 |
| Mailing Address |
210 New Hope Rd Princeton WV 24740-2136 |
| Practice Telephone | 3044251960 |
| Practice Fax Number | 3044873514 |
| Mailing Telephone | 3044251960 |
| Mailing Fax Number | 3044873514 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | CHARLES E. GABE (DIRECTOR) |
| Authorized Official Telephone | 3044259160 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011237000 | 05 |
| Street Address |
187 SKYLAR DRIVE |
| City | FAIRLEA |
| State | WV |
| Zip Code | 24901-9359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164674156 | West Virginia Radiation Therapy Services Inc | Radiology | 187 Skylar Drive, Fairlea, WV 24901 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164674156 | West Virginia Radiation Therapy Services Inc | Radiology | 187 Skylar Drive, Fairlea, WV 24901 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164687521 | Logan Oncology Care Associates, LLC | Radiology | 601 Holden Road, Logan, WV 25601-0000 | 2008-07-25 |
| 1235290214 | Velayudhan Sahadevan | Radiology | 155 Dry Hill Road, Beckley, WV 25801 | 2006-12-13 |
| 1437192630 | Charles H Shelton IIi | Radiology | 187 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-06-14 |
| 1063469625 | Radiation Oncology Associates, Inc. | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-05-28 |
| 1972562627 | John C Frich | Radiology | 1stadium Dr, Morgantown, WV 26506-7911 | 2006-03-21 |
| 1962867408 | Wheeling Hospital, Inc. | Radiology | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-12-29 |
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1770889511 | Malcolm D Mattes | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2011-01-26 |
| 1770803314 | Phuong Nguyen | Radiology | 2000 Eoff St, Wheeling, WV 26003-3823 | 2010-06-06 |
| 1285950873 | Rebekah L Young | Radiology | 1400 Hal Greer Blvd, Huntington, WV 25701-4114 | 2010-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.