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WHITEHALL MEDICAL PLLC
NPI 1659432631
General Practice in Fairmont, WV

Active since December 13, 2006
177 MIDDLETOWN RD, SUITE 1, FAIRMONT, WV 26554(304) 363-6600(304) 363-7700 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Whitehall Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITEHALL MEDICAL PLLC (NPI 1659432631) is a healthcare organization registered as a general practice in Fairmont, West Virginia and active in the NPI registry since December 2006. The organization lists Richard E. Vasicek, Member Owner, as its authorized official.

NPPES Registry Identity

NPI1659432631
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWHITEHALL MEDICAL PLLC
Location Address177 MIDDLETOWN RD, SUITE 1Fairmont, WV 26554-8216
Mailing Address177 Middletown Rd, Suite 1Fairmont, WV 26554-8216 · (304) 363-6600 · Fax (304) 363-7700
Phone(304) 363-6600
Fax(304) 363-7700
Organization SubpartNo
Authorized OfficialRichard E. VasicekMember Owner · (304) 363-6600
Enumeration DateDecember 13, 2006
Last NPPES UpdateMay 3, 2012
✔ NPI 1659432631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WV · 1552
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
177 MIDDLETOWN RD, Fairmont, WV 26554
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Other Identifiers 4

Medicaid3810006289WV
Other001711083WV · Group Bcbs
Other2411485WV · Group
Medicare ID-Type UnspecifiedWM9340081WV · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories White Hall Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

White Hall Pharmacy LLC

DMEPOS supplier · Fairmont, WV
⋮

Does not accept Medicare assignment

White Hall Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20509397
Medicare Participant SinceJanuary 1, 2014
Supplier Location177 Middletown Rd Ste 2Fairmont, WV 26554
Phone(304) 368-9355
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATIE MARIE PETRISIN PHARM.D.
Pharmacist
177 MIDDLETOWN RD, SUITE #2
FAIRMONT, WV 26554
Marion County (304) 368-9355
ASHLEE MICHNO
Nurse Practitioner
177 MIDDLETOWN RD
FAIRMONT, WV 26554
Marion County (304) 363-6600
CHAD ROSS MARSH CFNP
Nurse Practitioner (Family)
177 MIDDLETOWN RD, STE 1
FAIRMONT, WV 26554
Marion County (304) 363-6600
MR. JOEL FRANCIS WILLIAMS FNP-BC
Nurse Practitioner (Family)
177 MIDDLETOWN RD, SUITE 1
FAIRMONT, WV 26554
Marion County (304) 363-6600
WHITEHALL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
177 MIDDLETOWN RD, SUITE 2
FAIRMONT, WV 26554
Marion County (304) 368-9355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitehall Medical PLLC's NPI number?

The NPI number for Whitehall Medical PLLC is 1659432631. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Whitehall Medical PLLC located?

Whitehall Medical PLLC is located at 177 Middletown Rd Suite 1, Fairmont, WV 26554. The listed phone number is (304) 363-6600.

What is Whitehall Medical PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Whitehall Medical PLLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, White Hall Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Whitehall Medical PLLC was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.