MR. BOBBY LEE MARCUM (NPI# 1013069046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013069046 |
Entity Type | Individual |
Full Name | MR. BOBBY LEE MARCUM |
Credential | C-FNP |
Practice Address |
1340 Hal Greer Boulevard Attn: Tammie Silva Huntington WV 25701-3800 |
Practice Telephone | 3045262200 |
Practice Fax Number | 3045262139 |
Mailing Telephone | 3045262200 |
Mailing Fax Number | 3045262139 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2012-11-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
47550 | WV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100115990 | 05 | |
WV | RR MEDICARE | P00836672 | 01 |
WV | 7103206000 | 05 | |
OH | 3046877 | 05 |
Street Address |
1340 HAL GREER BOULEVARD ATTN: TAMMIE SILVA |
City | HUNTINGTON |
State | WV |
Zip Code | 25701-3800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538143755 | Kevin M. Franks | Emergency Medicine | 1340 Hal Greer Boulevard, Cabell Huntington Hospital, Huntington, WV 25701-3800 | 2005-12-01 |
1811224165 | Rebecca Gail Stokes | Nurse Practitioner | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2009-11-06 |
1467650366 | Khalil Abulatifa | Internal Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-07-03 |
1184838906 | Shannon K Watts | Family Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2007-05-10 |
1790885341 | Glen S. Jordan | Physician Assistant | 1340 Hal Greer Boulevard, Cabell Huntington Hospital, Inc, Huntington, WV 25701 | 2006-09-24 |
1326068503 | Thomas E. Hamilton | Emergency Medicine | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-07-20 |
1891759031 | James R Bailes Jr. | Pediatrics | 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
Find all providers in zip 25701 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143495 | Katherine Dowling | Nurse Practitioner | 1 Bouton Rd, Huntington, NY 11743-1003 | 2020-10-28 |
1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
1235747106 | Dathan Jobe | Nurse Practitioner | 2 Jacqueline Hts, Huntington, WV 25702-9764 | 2020-07-16 |
1427676923 | Taylor Regen Dean | Nurse Practitioner | 32 Brookstone Dr, Huntington, WV 25704-9563 | 2020-07-10 |
1689207516 | Sandra Walters | Nurse Practitioner | 1340 16th St, Huntington, WV 25701-3800 | 2020-02-19 |
1124678156 | Misty Rae Stauffer | Nurse Practitioner | 406 Viking Cove Rd, Huntington, TX 75949-3474 | 2019-09-11 |
1689223349 | Tashanna T Brown | Nurse Practitioner | 75 Prospect St Ste 204, Huntington, NY 11743-3320 | 2019-09-05 |
1194370676 | Chelse R Jobe | Nurse Practitioner | 2900 1st Ave Ste 10, Huntington, WV 25702-1241 | 2019-08-02 |
1609338284 | Anne M Weiser-maimone | Nurse Practitioner | 33 Knollwood Rd, Huntington, NY 11743-1527 | 2019-04-03 |
1396207262 | Vanessa Gervasi | Nurse Practitioner | 241 E Main St Ste 2c, Huntington, NY 11743-2917 | 2019-04-01 |
Find all providers in HUNTINGTON |
City | HUNTINGTON |
Zip Code | 25701 |
Please comment or provide details below to improve the information on MR. BOBBY LEE MARCUM.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.