DR. MATTHEW ALLEN POLK (NPI# 1053574392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053574392 |
Entity Type | Individual |
Full Name | DR. MATTHEW ALLEN POLK |
Credential | D.P.M. |
Practice Address |
83 War Memorial Dr Berkeley Springs WV 25411 |
Mailing Address |
83 War Memorial Dr Berkeley Springs WV 25411-1737 |
Practice Telephone | 3042580506 |
Practice Fax Number | 3042580508 |
Mailing Telephone | 3042580506 |
Mailing Fax Number | 3042580508 |
Enumeration Date | 2008-07-07 |
Last Update Date | 2018-06-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0103301039 | VA | Podiatric Medicine & Surgery Service Providers |
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
02207 | WV | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 1053574392 | 05 |
Street Address |
83 WAR MEMORIAL DR |
City | BERKELEY SPRINGS |
State | WV |
Zip Code | 25411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639274681 | Berkeley Springs Surgical Corp., P.C. | Surgery | 83 War Memorial Dr, Berkeley Springs, WV 25411-1737 | 2006-09-14 |
1437334141 | Community Physicians of War Memorial Hospital | Family Medicine | 83 War Memorial Dr, Berkeley Springs, WV 25411-1737 | 2008-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013489541 | War Memorial Hospital, Inc. | Internal Medicine | 3774 Valley Road, Berkeley Springs, WV 25411 | 2018-12-21 |
1568943397 | Julie Washick | Registered Nurse | Morgan County Board of Education, 247harrison Avenue, Berkeley Springs, WV 25411 | 2018-08-29 |
1316493950 | Matthew Ronald Jury | Pharmacist | 8 Gayle Drive, Berkeley Springs, WV 25411 | 2016-09-01 |
1457645467 | Zachary Ian Law | Dentist | 345 Concord Avenue, Berkeley Springs, WV 25411 | 2011-06-07 |
1467757187 | Wilma Dean Peters | Registered Nurse | 102 Whites Gap Road, Berkeley Springs, WV 25411 | 2011-01-12 |
1578877742 | Community Physicians of War Memorial | General Practice | 77 War Memorial Drive, Berkeley Springs, WV 25411 | 2010-07-30 |
1194046623 | Mls Counseling Services, LLC | Counselor | 3361 Valley Road, Berkeley Springs, WV 25411 | 2010-06-18 |
1053540781 | Amanda Gail Michael | Family Medicine | 2055 Valley Road, Berkeley Springs, WV 25411 | 2009-07-02 |
1346426871 | Gina Didawick Mellott | Registered Nurse | 247 Harrison Avenue, Morgan County Board of Education, Berkeley Spgs, WV 25411 | 2008-01-15 |
1811197585 | Robert James Dixon | Chiropractor | 122 Independence St., Berkeley Springs, WV 25411 | 2007-07-20 |
Find all providers in zip 25411 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841479813 | Panhandle Podiatry Pllc | Podiatrist | 489 Mid Atlantic Parkway, Suite 1, Martinsburg, WV 25404-3594 | 2007-10-26 |
1346350030 | Gerald Marshall Erskine | Podiatrist | 336 Seneca Trl, 219 North, Ronceverte, WV 24970-1320 | 2006-08-30 |
1437119856 | Martin M Mrozek | Podiatrist | 27 Parsons Lane, Fayetteville, WV 25840-0957 | 2006-03-28 |
1215923495 | John Bowman White IIi | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2005-09-23 |
1952736357 | Wheeling Foot Clinic | Podiatrist | 903 Wheeling Ave, Glen Dale, WV 26038-1662 | 2013-09-05 |
1033483763 | Wheeling Foot Clinic | Podiatrist | 1061 Main St, Wheeling, WV 26003-2701 | 2012-02-27 |
1326227380 | Leonard A. Reynolds, Dpm | Podiatrist | 1025 Main St, Suite 602, Wheeling, WV 26003-2726 | 2007-10-26 |
1114112042 | David James Cornish | Podiatrist | 314 Goff Mountain Rd, Suite #1, Cross Lanes, WV 25313-6602 | 2007-09-13 |
1053408674 | West Virginia Foot Care Specialists, Pllc | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2006-10-06 |
City | BERKELEY SPRINGS |
Zip Code | 25411 |
Please comment or provide details below to improve the information on DR. MATTHEW ALLEN POLK.
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.