MRS. MARCIE M. PRETTYMAN (NPI# 1720279979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720279979 |
Entity Type | Individual |
Full Name | MRS. MARCIE M. PRETTYMAN |
Other Name | MARCIE MARIE ALLEN |
Credential | PA-C |
Practice Address |
2000 Mon Health Medical Park Dr Ste 2100 Morgantown WV 26505 |
Mailing Address |
2000 Mon Health Medical Park Dr Ste 2100 Morgantown WV 26505-1134 |
Practice Telephone | 3045996811 |
Practice Fax Number | 3045997159 |
Mailing Telephone | 3045996811 |
Mailing Fax Number | 3045997159 |
Enumeration Date | 2007-08-05 |
Last Update Date | 2018-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01569 | WV | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002580 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2000 MON HEALTH MEDICAL PARK DR STE 2100 |
City | MORGANTOWN |
State | WV |
Zip Code | 26505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871568907 | Gail Ann Rock | Advanced Practice Midwife | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2006-02-22 |
1518443050 | Ava Smith | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505-1168 | 2018-07-18 |
1043621998 | Erica Arthurs | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2014-05-14 |
1285055392 | Stephanie K Bartlett | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505-1134 | 2013-12-17 |
1265605760 | Amanda Gail Sherman | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505-1134 | 2008-04-07 |
1235327404 | Murshid Khader Abdel-latif | Specialist | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2007-10-12 |
1730371295 | Candina Ranee Mccullough | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2007-08-17 |
1861695421 | Shane Prettyman | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2007-06-08 |
1164636429 | Kerri George Hall | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2007-05-09 |
1902815533 | Craig Scott Herring | Obstetrics & Gynecology | 2000 Mon Health Medical Park Dr Ste 2100, Morgantown, WV 26505 | 2006-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
Find all providers in zip 26505 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
1013081553 | Christen L Jordan | Physician Assistant | 1 Medical Center Driive, Morgantown, WV 26506 | 2006-11-17 |
1134726334 | Anna Elizabeth Warfiled | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-10-01 |
1184146250 | Haley Summerfield | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-07-11 |
1619408473 | Zachary Kent Douglas | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-03-23 |
1619418340 | Kristopher Smith | Physician Assistant | 6040 University Town Centre Dr, Morgantown, WV 26501-2421 | 2017-03-14 |
1306388350 | Lance Bryson | Physician Assistant | 1000 J D Anderson Dr, Suite 401, Morgantown, WV 26505-1241 | 2016-11-08 |
1518415843 | Anne Mittal | Physician Assistant | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-09-15 |
1003362393 | Hangyu Watson | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2016-08-28 |
1881046399 | Michele Vidulich | Physician Assistant | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-07-08 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26505 |
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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.