Healthcare Provider Details

I. General information

NPI: 1720308208
Provider Name (Legal Business Name): WOMENS HEALTH SPECIALISTS OF WHEELING HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2010
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51339 NATIONAL RD
SAINT CLAIRSVILLE OH
43950-9119
US

IV. Provider business mailing address

1 MEDICAL PARK
WHEELING WV
26003-6379
US

V. Phone/Fax

Practice location:
  • Phone: 740-695-1210
  • Fax: 304-243-3060
Mailing address:
  • Phone: 304-243-3000
  • Fax: 304-243-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONALD VIOLI
Title or Position: CEO
Credential:
Phone: 304-243-3000