MRS. EMILIE MINARCIK (NPI# 1962808949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962808949 |
| Entity Type | Individual |
| Full Name | MRS. EMILIE MINARCIK |
| Other Name | MS. EMILIE S. FAGIN |
| Credential | NP |
| Practice Address |
1000 Mon Health Medical Park Dr Ste 1104 Morgantown WV 26505-1143 |
| Practice Telephone | 3045987296 |
| Practice Fax Number | 3045987297 |
| Mailing Telephone | 3045987296 |
| Mailing Fax Number | 3045987297 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1638693 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
992330 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
SP014335 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
106888 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DEA | MF3415610 | 01 |
| Street Address |
1000 MON HEALTH MEDICAL PARK DR STE 1104 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649221532 | David Edward Seaman | Internal Medicine | 1000 Mon Health Medical Park Dr Ste 1104, Morgantown, WV 26505-1143 | 2006-05-15 |
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275167447 | Teresa Lynn Ward | Nurse Practitioner | 60 Falling Water Ln, Morgantown, WV 26508-4498 | 2020-02-26 |
| 1225539828 | Tiffany Dawn Newman | Nurse Practitioner | 4000 Hampton Ctr Ste B, Morgantown, WV 26505-1730 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186241 | Jeremy Lee Mount | Nurse Practitioner | 126 Woodland Dr, Huntington, WV 25705-1346 | 2020-08-24 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1407360589 | Caitlin Elizabeth Arthur | Nurse Practitioner | 501 Morris St Ste 362, Charleston, WV 25301-1326 | 2017-11-28 |
| 1932719747 | Christina Sigman | Nurse Practitioner | 640 Sandhill Rd, Point Pleasant, WV 25550-2163 | 2020-08-06 |
| 1275150047 | Roger Mark Booth Jr. | Nurse Practitioner | 1540 Spring Valley Dr, Huntington, WV 25704-9501 | 2020-06-28 |
| 1275035107 | Courtney Layton | Nurse Practitioner | 150 Memorial Dr, Kingwood, WV 26537-1141 | 2018-03-07 |
| 1801396981 | Penny Lea Ramsey | Nurse Practitioner | 11950 Maccorkle Ave, Chesapeake, WV 25315-1135 | 2018-02-15 |
| 1275988636 | Leanne Richardson | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2016-05-04 |
| 1073983813 | Brenda Hashem | Nurse Practitioner | 1 Healthy Way, Berkeley Springs, WV 25411-7463 | 2015-10-06 |
| 1740534643 | Tanyia Delane Montie | Nurse Practitioner | 223 Maplewood Ave, Lewisburg, WV 24901-9459 | 2012-10-31 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MRS. EMILIE MINARCIK.
| 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.