JAMIE EVICK (NPI# 1720254972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720254972 |
| Entity Type | Individual |
| Full Name | JAMIE EVICK |
| Other Name | JAMIE ETZEL |
| Credential | D.O. |
| Practice Address |
2115 Chapline St Wheeling WV 26003-3859 |
| Practice Telephone | 3042348885 |
| Practice Fax Number | 3042341838 |
| Mailing Telephone | 3042348885 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 34.012233 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2198 | WV | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS014252 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | STATE LICENSE NUMBER | 2198 | 01 |
| OH | STATE LICENSE NUMBER | 34.012233 | 01 |
| PA | STATE LICENSE NUMBER | OS014252 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 426 8th St Ste 201, Glen Dale, WV 260381451 | 3048433437 | |
| 800 Wheeling Ave, Glen Dale, WV 260381660 | 3048453211 |
| Street Address |
2115 CHAPLINE ST |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216260 | Joseph H Goodwin | Podiatrist | 2115 Chapline St, Ste 104, Wheeling, WV 26003-3859 | 2005-06-22 |
| 1861917007 | Mark T Voellinger Md Inc | Internal Medicine | 2115 Chapline St, Wheeling, WV 26003-3859 | 2017-08-09 |
| 1841726577 | Alecto Healthcare Services Martins Ferry LLC | Internal Medicine | 2115 Chapline St, Wheeling, WV 26003-3859 | 2017-05-01 |
| 1790225845 | Alecto Wheeling Physicians, Inc. | Internal Medicine | 2115 Chapline St, Suite 204, Wheeling, WV 26003-3859 | 2017-03-07 |
| 1124473400 | Marilyn W. Horacek, D.o. | Family Medicine | 2115 Chapline St, Suite 208, Wheeling, WV 26003-3859 | 2016-04-25 |
| 1154699833 | Jay Henry Dyer Dds, Inc | Dentist | 2115 Chapline St, Ste 208, Wheeling, WV 26003-3859 | 2011-12-08 |
| 1013298645 | Jennifer M Wellman | Nurse Practitioner | 2115 Chapline St, Wheeling, WV 26003-3859 | 2011-09-09 |
| 1568758514 | Etzel Internal Medicine Pllc | Internal Medicine | 2115 Chapline St, Wheeling, WV 26003-3859 | 2011-06-28 |
| 1528394244 | Charla L. Anderson, M.d. | Nurse Practitioner | 2115 Chapline St, Valley Professional Center, Suite 101, Wheeling, WV 26003-3859 | 2009-10-30 |
| 1295963213 | Lea Katrin Harms | Obstetrics & Gynecology | 2115 Chapline St, Suite 201, Wheeling, WV 26003-3859 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194229971 | Remedy Medical Group Inc | Internal Medicine | 222 E Dundee Rd Fl 2, Wheeling, IL 60090-3009 | 2018-03-19 |
| 1093130809 | Christian Silvio Greco | Internal Medicine | 31 Renaissance Way, Wheeling, WV 26003-4867 | 2014-03-03 |
| 1912206020 | Sathyanarayana Machani | Internal Medicine | 40 Medical Park Ste 406, Wheeling, WV 26003-6392 | 2011-03-15 |
| 1164726998 | Lyndave S Francis Frank | Internal Medicine | 2101 Jacob St Ste 703, Wheeling, WV 26003-3844 | 2011-01-09 |
| 1073746483 | East West Internal Medicine Associates, P.C. | Internal Medicine | 342 S Milwaukee Ave, Wheeling, IL 60090-5021 | 2009-09-01 |
| 1679779581 | Tsinman P.C. | Internal Medicine | 264 Prairie View Ln, Wheeling, IL 60090-3223 | 2007-06-26 |
| 1528157153 | John D Holloway | Internal Medicine | 2115 Chapine Street, Suite 202, Wheeling, WV 26003 | 2006-10-12 |
| 1710900907 | Michael G Tsinman | Internal Medicine | 1344 Horizon Trl, Wheeling, IL 60090-4417 | 2006-07-26 |
| 1164443438 | Jorge E Brunelle | Internal Medicine | 52 N Wolf Rd, Wheeling, IL 60090-2901 | 2006-07-22 |
| 1821051178 | Bill M Apostolon Jr. | Internal Medicine | 1223 Fairmont Pike Rd, Wheeling, WV 26003-1580 | 2006-04-08 |
| Find all providers in WHEELING | ||||
Please comment or provide details below to improve the information on JAMIE EVICK.
| 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.