MARTIN L. CODISPOTI


Address: 122 Nick Savas Dr, Logan, WV 25601-3468
Phone: 3047528081

MARTIN L. CODISPOTI (NPI# 1265717250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265717250
Entity Type Individual
Full Name MARTIN L. CODISPOTI
Credential FNP-BC
Practice Address 122 Nick Savas Dr
Logan
WV 25601-3468
Mailing Address 7400 Lynn Ave
Hamlin
WV 25523-1138
Practice Telephone 3047528081
Practice Fax Number 3047528083
Mailing Telephone 3048245806
Mailing Fax Number 3048245804
Enumeration Date 2011-10-21
Last Update Date 2013-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
73900 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 122 NICK SAVAS DR
City LOGAN
State WV
Zip Code 25601-3468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336648245 Rikki Lynn Evans Nurse Practitioner 122 Nick Savas Dr, Logan, WV 25601-3468 2018-02-06
1366833576 Timothy Deskins Physician Assistant 122 Nick Savas Dr, Logan, WV 25601-3468 2015-02-10
1881969475 Rafael Modesto Rodighiero Physician Assistant 122 Nick Savas Dr, Logan, WV 25601-3468 2012-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720689805 Appalachian Medical LLC Durable Medical Equipment & Medical Supplies 218 Dingess St, Logan, WV 25601 2020-11-04
1184224909 Pamela Gail Hamlin Technician 123 Cassick Street, Logan, WV 25601 2020-10-30
1134607344 Allyson Christa Mckinney Occupational Therapy Assistant 55 Lmmh Center Road, Logan, WV 25601 2018-07-31
1841783727 Erica Lupson Nurse Practitioner 3 Mile Curve, Logan, WV 25601 2018-06-14
1861930836 Joseph Michael Mounts Counselor 312 Hudgins St, Logan, WV 25601 2017-02-09
1932647385 Melissa Campbell Occupational Therapy Assistant Wv-10, Logan, WV 25601 2017-02-06
1356891659 Brooke Bell Pharmacist Route 44 Holden Rd, Logan, WV 25601 2016-10-11
1760886469 April Workman Massage Therapist 19 A Main Avenue, Logan, WV 25601 2014-10-09
1366889081 Ashley Leann Dingess Physical Therapy Assistant 55 Logan Mingo Mental Health, Logan, WV 25601 2013-06-04
1528361466 Health Care Management, LLC Pharmacy 369 George Kostas Drive, Logan, WV 25601 2010-12-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811519085 Savannah Alder Nurse Practitioner 82 N 1250 E, Logan, UT 84321-4920 2020-05-11
1912537887 Kathryn Grace Quezada Nurse Practitioner 165 E 100 N Apt E, Logan, UT 84321-4630 2020-01-20
1104395375 William Ray Watkins Jr. Nurse Practitioner 214 Hanging Rock Hwy, Logan, WV 25601-5102 2018-11-17
1841783727 Erica Lupson Nurse Practitioner 3 Mile Curve, Logan, WV 25601 2018-06-14
1265959704 Benjamin Tackett Nurse Practitioner 140 Stollings Ave Ste 1, Logan, WV 25601-4035 2017-08-25
1295275717 Jennifer Courtney Coleman Nurse Practitioner 25 Mae St, Logan, OH 43138-8965 2017-03-02
1194100701 Kendall Gilbert Brown Nurse Practitioner 1225 Valley View Dr, Logan, UT 84321-4585 2015-07-24
1255731014 Donalee Thomson Nurse Practitioner 850 E 1200 N 9100 Old Main Hl, Logan, UT 84322-9100 2014-08-29
1922242262 Cynthia Lynn Hazelwood Nurse Practitioner 2310 N 400 E Ste A, Logan, UT 84341-1796 2009-04-30
1770760563 Linda Jones Roberts Nurse Practitioner 2051 North 600 West, Cvyc, Logan, UT 84321-4355 2008-01-24
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Competitor

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City LOGAN
Zip Code 25601

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Dataset Information

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.

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