MICHELE VIDULICH (NPI# 1881046399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881046399 |
| Entity Type | Individual |
| Full Name | MICHELE VIDULICH |
| Credential | PA-C |
| Practice Address |
1 Medical Center Drive Morgantown WV 26506 |
| Practice Telephone | 3045984800 |
| Mailing Telephone | 3045984800 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
708 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593835 | Eric Kinney | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506 | 2020-09-23 |
| 1740899186 | Calvin Austin Parmiter | Pharmacist | 1 Medical Center Drive, Dept of Pharmacy Services, Morgantown, WV 26506 | 2020-07-30 |
| 1336776939 | Sundus Ahmed | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2020-03-24 |
| 1407406523 | Amy Pham | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506-1200 | 2019-09-19 |
| 1083176440 | Nicole Pozun | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26505-6010 | 2019-04-04 |
| 1215496112 | Britney Harris | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Surgery Room 4601, Morgantown, WV 26506 | 2019-03-19 |
| 1790256220 | Jessica Kim | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Services, Morgantown, WV 26506 | 2018-12-10 |
| 1952883001 | Benjamin Bredhold | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26505 | 2018-09-05 |
| 1558841437 | Aaron Cumpston | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Servies, Morgantown, WV 26506 | 2018-08-20 |
| 1508346594 | Kala Ruth Rorabaugh | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services (8045), Morgantown, WV 26506 | 2018-08-19 |
| 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 | 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 |
| 1396191771 | Mary Stunja Revers | Physician Assistant | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2016-05-04 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on MICHELE VIDULICH.
| 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.