MARK JOSEPH CONTRAEL


Address: 510 Butler Ave, Martinsburg, WV 25405-9990
Phone: 3042630811

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 103149470 05
WV BLUE CROSS BLUE SHIELD 001722694 01

Provider Secondary Practice Location

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

Office Location

Street Address 510 BUTLER AVE
City MARTINSBURG
State WV
Zip Code 25405-9990

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MARTINSBURG
Zip Code 25405

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Dataset Information

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.

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