MARTHA D MULLETT (NPI# 1861535445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861535445 |
| Entity Type | Individual |
| Full Name | MARTHA D MULLETT |
| Credential | MD |
| Practice Address |
1 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3045984800 |
| Practice Fax Number | 3045986873 |
| Mailing Telephone | 3042857101 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
09959 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0111044000 | 05 |
| Street Address |
1 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1114270105 | Tiffany D Lannan | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2012-10-16 |
| 1730438078 | Amanda Kessler | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506 | 2012-08-31 |
| 1205195971 | Hilary Elaine Morley | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-15 |
| 1780943977 | Wvu Hospitals | Student in an Organized Health Care Education/Training Program | 1 Stadium Drive, Morgantown, WV 26506 | 2012-05-09 |
| 1770852519 | Stephanie A Olcese | Nurse Practitioner | 1 Stadium Drive, Morgantown, WV 26506 | 2011-12-23 |
| 1578846762 | Stephania Amanda Acord | Occupational Therapist | 1 Stadium Drive, Morgantown, WV 26506-7911 | 2011-09-23 |
| 1831471424 | Terri Lynn Marcischak | Registered Nurse | 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 | 2011-09-09 |
| 1346538931 | Brian Daniel Connolly | Radiology | 1 Stadium Drive, Morgantown, WV 26505 | 2011-07-16 |
| 1356634927 | Lisa Marie Costello | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407126717 | David Zell Myerberg | Pediatrics | 237 Lebanon St, Morgantown, WV 26501-6535 | 2012-01-03 |
| 1427315324 | Rebecca Jane Burke | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-04-16 |
| 1558627356 | Stephen Matthew Akers | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506 | 2012-04-05 |
| 1992911374 | Greg Barretto | Pediatrics | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-15 |
| 1972683076 | Janet E Graeber | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1053491902 | Panitan Yossuck | Pediatrics | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-16 |
| 1316931330 | Alicia Ann Moise | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2005-09-06 |
| 1780685347 | Alfred Louis Gest Jr. | Pediatrics | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265646319 | Karin Johnson | Pediatrics | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2007-05-09 |
| 1033295324 | Petaiah Mohan | Pediatrics | 194 Carriage Dr, Beckley, WV 25801-2804 | 2006-10-28 |
| 1164473534 | Stefan Randolph Maxwell | Pediatrics | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-05-12 |
| 1437113693 | Davangere M Jayaram | Pediatrics | 830 Pennsylvania Ave, Charleston, WV 25302-3302 | 2006-04-14 |
| 1437113776 | Joseph W Werthammer | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-13 |
| 1811951577 | Renee S. Domanico | Pediatrics | 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701-3656 | 2006-04-12 |
| 1265495188 | James Wesley Lowery Jr. | Pediatrics | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-04-11 |
| 1215990379 | Abdelhamid Bourbia | Pediatrics | 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302-3302 | 2006-04-10 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on MARTHA D MULLETT.
| 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.