MARK JOSEPH CONTRAEL (NPI# 1609824085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609824085 |
Entity Type | Individual |
Full Name | MARK JOSEPH CONTRAEL |
Credential | PA-C |
Practice Address |
510 Butler Ave Martinsburg WV 25405-9990 |
Mailing Address |
184 Kitchens Orchard Rd Hedgesville WV 25427-6716 |
Practice Telephone | 3042630811 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2020-02-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055371 | PA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
807 | WV | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA055371 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 103149470 | 05 | |
WV | BLUE CROSS BLUE SHIELD | 001722694 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
184 Kitchens Orchard Rd, Hedgesville, WV 254276716 | 3042683928 | |
9040 Jackson Ave, Tacoma, WA 984319990 | 2539681163 | |
9040 Reid St # A, Joint Base Lewis Mcchord, WA 984316716 | 2539681163 |
Street Address |
510 BUTLER AVE |
City | MARTINSBURG |
State | WV |
Zip Code | 25405-9990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124022173 | Richard Charles Avioli | Orthopaedic Surgery | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-06-08 |
1659972701 | Julie C Riggleman | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-11-05 |
1003415258 | Melissa Bangle | Psychologist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-10-20 |
1134738016 | Jessica Christine Fernandez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-07-28 |
1164046124 | Brigit Kirwan | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-06-04 |
1467073437 | Jared O Ogenche | Respiratory Therapist, Registered | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-04-30 |
1205468295 | Alicia Lopez | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-02-07 |
1184256505 | Jeffrey Parish | Pharmacist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-02-05 |
1356981252 | Jenica Pearson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9991 | 2020-01-09 |
1679119754 | Stacy Nicole Green | Social Worker | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2019-11-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982004834 | Stacy Becker | Pharmacist | 1297 Winchester Ave, Martinsburg, WV 25405 | 2014-08-28 |
1336577709 | Zellene Struble | Midwife | 405 Sweetbriar Rd, Martinsburg, WV 25405 | 2013-10-23 |
1710329131 | Aisha Masood | Pharmacist | 510 Butler Avenue (pharmacy Services 119), Martingsburg, WV 25405 | 2013-07-26 |
1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
1962594846 | Barbara Ellen Hartman | Dietitian, Registered | 510 Butler Avenue, Martinsburg, WV 25405 | 2006-09-29 |
1043313042 | William Peter Perks | Social Worker | 540 Teal Rd N, Martinsburg, WV 25405 | 2006-09-06 |
1497399729 | Michelle Stickel | Speech-Language Pathologist | Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25405 | 2019-10-30 |
1225688054 | Lynne Blackshear | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Avenue, Martinsburg, WV 25405 | 2019-09-13 |
1285284018 | Christina Byrnes | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-09-13 |
1730737339 | Susan J Dilly | Registered Nurse | Berkeley County Board of Education, 1435 Winchester Ave, Martinsburg, WV 25405 | 2019-08-28 |
Find all providers in zip 25405 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922297951 | James Michael Mills | Physician Assistant | 1008 Tavern Rd, Ste 102, Martinsburg, WV 25401-2801 | 2007-10-16 |
1295897437 | David Kent Wagner | Physician Assistant | 1008 Tavern Road, Ste 102, Martinsburg, WV 25401-2864 | 2006-12-14 |
1336172733 | Ryan Christopher Rife | Physician Assistant | 510 Butler Ave, Martinsburg, WV 25401-9990 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649561408 | Trell Marie Stowell | Physician Assistant | 1 Medical Center Drive, Suite 9238, Wvu Dept. of Surgery, Morgantown, WV 26506 | 2011-04-28 |
1821158536 | Brook E Morgan | Physician Assistant | 1600 Murdoch Avenue, Suite 100, Parkersburg, WV 26101 | 2006-12-11 |
1205842713 | Melissa M Glauser | Physician Assistant | 1021 Mt Dechantel Road, Wheeling, WV 26003 | 2006-08-01 |
1104823830 | Michael Lee Belcher | Physician Assistant | 230 George St, Suite 2, Beckley, WV 25801-2620 | 2005-07-07 |
1871145623 | Anthony Paul Brunetti | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2019-07-11 |
1346733086 | Kari Rae Hunter | Physician Assistant | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2018-06-07 |
1275035685 | Holly Harris | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2018-03-01 |
1255846671 | James Keith Burress Jr. | Physician Assistant | 2000 Eoff St, Wheeling, WV 26003-3823 | 2017-12-07 |
1346751237 | Adam Nathaniel Hill | Physician Assistant | 415 Morris St Ste 400, Charleston, WV 25301-1854 | 2017-10-18 |
1952810046 | Nathan Merl Musser | Physician Assistant | 1 Medical Park, Wheeling, WV 26003-6379 | 2017-09-21 |
Find all providers with the same taxonomy |
City | MARTINSBURG |
Zip Code | 25405 |
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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.