MARTIN L. CODISPOTI (NPI# 1265717250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265717250 |
| Entity Type | Individual |
| Full Name | MARTIN L. CODISPOTI |
| Credential | FNP-BC |
| Practice Address |
122 Nick Savas Dr Logan WV 25601-3468 |
| Mailing Address |
7400 Lynn Ave Hamlin WV 25523-1138 |
| Practice Telephone | 3047528081 |
| Practice Fax Number | 3047528083 |
| Mailing Telephone | 3048245806 |
| Mailing Fax Number | 3048245804 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
73900 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
122 NICK SAVAS DR |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336648245 | Rikki Lynn Evans | Nurse Practitioner | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2018-02-06 |
| 1366833576 | Timothy Deskins | Physician Assistant | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2015-02-10 |
| 1881969475 | Rafael Modesto Rodighiero | Physician Assistant | 122 Nick Savas Dr, Logan, WV 25601-3468 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519085 | Savannah Alder | Nurse Practitioner | 82 N 1250 E, Logan, UT 84321-4920 | 2020-05-11 |
| 1912537887 | Kathryn Grace Quezada | Nurse Practitioner | 165 E 100 N Apt E, Logan, UT 84321-4630 | 2020-01-20 |
| 1104395375 | William Ray Watkins Jr. | Nurse Practitioner | 214 Hanging Rock Hwy, Logan, WV 25601-5102 | 2018-11-17 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1265959704 | Benjamin Tackett | Nurse Practitioner | 140 Stollings Ave Ste 1, Logan, WV 25601-4035 | 2017-08-25 |
| 1295275717 | Jennifer Courtney Coleman | Nurse Practitioner | 25 Mae St, Logan, OH 43138-8965 | 2017-03-02 |
| 1194100701 | Kendall Gilbert Brown | Nurse Practitioner | 1225 Valley View Dr, Logan, UT 84321-4585 | 2015-07-24 |
| 1255731014 | Donalee Thomson | Nurse Practitioner | 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 | 2014-08-29 |
| 1922242262 | Cynthia Lynn Hazelwood | Nurse Practitioner | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2009-04-30 |
| 1770760563 | Linda Jones Roberts | Nurse Practitioner | 2051 North 600 West, Cvyc, Logan, UT 84321-4355 | 2008-01-24 |
| Find all providers in LOGAN | ||||
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| 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.