Provider Demographics
NPI:1326054289
Name:ORRAHOOD, MELINDA JOYCE (PAC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOYCE
Last Name:ORRAHOOD
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WV
Mailing Address - Zip Code:26452-8548
Mailing Address - Country:US
Mailing Address - Phone:304-269-4448
Mailing Address - Fax:
Practice Address - Street 1:936 SHARPE HOSPITAL ROAD
Practice Address - Street 2:WILLIAM R SHARPE JR HOSPITAL
Practice Address - City:WESTON
Practice Address - State:WV
Practice Address - Zip Code:26452
Practice Address - Country:US
Practice Address - Phone:304-269-1210
Practice Address - Fax:304-269-0457
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV217363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVORPA7S131Medicare ID - Type Unspecified
S73823Medicare UPIN