Healthcare Provider Details

I. General information

NPI: 1215736988
Provider Name (Legal Business Name): WMC PHYSICIAN PRACTICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 COLLIERS WAY STE 201
WEIRTON WV
26062-5055
US

IV. Provider business mailing address

651 COLLIERS WAY
WEIRTON WV
26062-5053
US

V. Phone/Fax

Practice location:
  • Phone: 304-723-4700
  • Fax: 304-723-4719
Mailing address:
  • Phone: 304-797-6200
  • Fax:

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: DREW SCHAUBLE
Title or Position: VP FINANCE
Credential:
Phone: 304-598-6681