Timothy G Deeulis (NPI# 1306969480, PAC ID# 5193765915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1306969480 |
| PAC ID by PECOS | 5193765915 |
| Professional Enrollment ID | I20050511000002 |
| Full Name | Timothy G Deeulis |
| Address |
2828 1st Ave Suite 303 Huntington WV 25702-1236 |
| Phone Number | 3045291005 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510007 | ST MARY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2828 1st Ave, Suite 303, Huntington, WV 25702-1236 | 3045291005 |
| Street Address |
2828 1ST AVE SUITE 303 |
| City | HUNTINGTON |
| State | WV |
| Zip | 25702-1236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Lee Ping | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Janet N Wallace | Family Medicine | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Heather Jasmine Holton | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 |
| Mark A Adams | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 |
| Nepal Chowdhury | Thoracic Surgery | St. Mary's Medical Management, LLC | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 |
| Rudy M Malayil | Physical Medicine and Rehabilitation | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Luis E Bolano | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Misty Lynn Spradlin | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Jack R Steel | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Bethany Sue Cox | Physician Assistant | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacy Michelle Davidson | Registered Dietitian Or Nutrition Professional | Ultimate Health Services Inc | 2860 Thrid Ave, Suite 20, Huntington, WV 25702 |
| Roderick A Young Ii | Family Medicine | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Daniel L Vanhoose | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Jessica Paige Sparks | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Suite 510, Huntington, WV 25702-1236 |
| Phillip N Reustle | Physician Assistant | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Thomas Scott | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Stanley S Tao | Orthopedic Surgery | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Michael D Grimes | Physician Assistant | Scott Orthopedic Center, Inc. | 2828 1st Ave, Suite 400, Huntington, WV 25702-1236 |
| Rocco A Morabito Sr. | Urology | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Todd Mcdaniel | Nurse Practitioner | St. Mary's Medical Management, LLC | 2828 1st Ave, Huntington, WV 25702-1236 |
| Find all physicians in zip 25702 | |||
| City | HUNTINGTON |
| Zip Code | 25702 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | HUNTINGTON + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Timothy G Deeulis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.