DR. ALEX PRESBITERO RACADAG (NPI# 1831183862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831183862 |
| Entity Type | Individual |
| Full Name | DR. ALEX PRESBITERO RACADAG |
| Credential | MD |
| Practice Address |
20 Hospital Dr Logan WV 25601-3452 |
| Mailing Address |
Po Box 1269 Chapmanville WV 25508-1269 |
| Practice Telephone | 3048311555 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
19250 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64049901 | 05 | |
| WV | 0104260000 | 05 |
| Street Address |
20 HOSPITAL DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164088647 | Tina Louise Prince | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2019-05-10 |
| 1467947895 | Staci Diane Johnson Knight | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-27 |
| 1609360940 | Benjamin D Adkins | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-06-20 |
| 1477042943 | Tammi Endicott Blankenship | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2018-05-09 |
| 1992220321 | Healogics Specialty Physicians of West Virginia, Pllc | Preventive Medicine | 20 Hospital Dr, Logan, WV 25601-3452 | 2017-08-07 |
| 1447773692 | Shelly L Fizer | Nurse Practitioner | 20 Hospital Dr, Logan, WV 25601-3452 | 2017-07-19 |
| 1861845638 | Chelsea Mackall | Physician Assistant | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-07-18 |
| 1790130722 | Lonnie Berry | Emergency Medicine | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-04-27 |
| 1689037780 | Appalachia Pathology Consultants LLC | Pathology | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-04-05 |
| 1437535267 | Daniel Wright | Podiatrist | 20 Hospital Dr, Logan, WV 25601-3452 | 2015-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174086581 | Ridgeview Pathology LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2019-04-11 |
| 1568996072 | Cache Valley Pathology, LLC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2017-04-12 |
| 1689037780 | Appalachia Pathology Consultants LLC | Pathology | 20 Hospital Dr, Logan, WV 25601-3452 | 2016-04-05 |
| 1497191860 | Mark Andrew Benedict | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2013-05-13 |
| 1851363600 | Matthew M Kershisnik | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2006-02-06 |
| 1053383141 | Northern Utah Pathology PC | Pathology | 1400 N 500 E, Logan, UT 84341-2455 | 2006-02-03 |
| 1952395980 | Pathology Laboratory Medicine Consultants Inc | Pathology | 20 Hospital Dr, Logan, WV 25601-3452 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384251 | Analyze Pathology Inc. | Pathology | 2 Bosley Ave, Parkersburg, WV 26101-7110 | 2019-12-24 |
| 1609164227 | Deidra Fawn Muto | Pathology | 219 Georgetown Pl, Charleston, WV 25314-1871 | 2011-07-17 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1912921883 | Harvey J Feld | Pathology | H Feld/qmbs/medusind (billing Inquires), 500 North Street, Bluefield, WV 24701 | 2006-07-26 |
| 1255318705 | Alan W Cashell | Pathology | 725 Yokum Street, Elkins, WV 26241-3181 | 2005-12-27 |
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1720087596 | Charleston Pathology Associates Pllc | Pathology | 333 Laidley St, Charleston, WV 25301-1614 | 2005-07-14 |
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1073519468 | Gregory J Moses | Pathology | 112 Brentwood Hts, Parkersburg, WV 26104-8503 | 2005-06-22 |
| 1568468924 | Robert J Herceg | Pathology | 705 Garfield Ave, Ste 205, Parkersburg, WV 26101-5444 | 2005-06-21 |
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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.