MARTHA WALTERS SHARITZ (NPI# 1497248710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497248710 |
| Entity Type | Individual |
| Full Name | MARTHA WALTERS SHARITZ |
| Practice Address |
141 E Main St Ste 420 Pulaski VA 24301-5085 |
| Mailing Address |
400 E North St Apt A Wytheville VA 24382-2346 |
| Practice Telephone | 5405095443 |
| Mailing Telephone | 2766203457 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110-006203 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
141 E MAIN ST STE 420 |
| City | PULASKI |
| State | VA |
| Zip Code | 24301-5085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891328621 | Amanda Leigh Edwards | Nurse Practitioner | 141 E Main St Ste 420, Pulaski, VA 24301-5085 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672532 | Pulaski County Public Schools | Speech-Language Pathologist | 202 North Washington Avenue, Pulaski, VA 24301 | 2019-01-07 |
| 1912490269 | Pulaski County Public Schools | Speech-Language Pathologist | 202 N. Washington Avenue, Pulaski, VA 24301 | 2018-06-12 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1366738817 | Rolf Alfred Koehler | Internal Medicine | 2524 Saddle Ridge Circle, Pulaski, VA 24301 | 2011-06-23 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1366677791 | Ehikioya Osamudiamen Osemobor | Internal Medicine | 2460 Lee Highway, Pulaski, VA 24301 | 2009-05-29 |
| 1154452555 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 2460 Lee Hwy, Suite 7, Pulaski, VA 24301 | 2007-03-08 |
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1801981337 | Windy Saunders Hundley | Nurse Practitioner | 101 1st Street Nw, Pulaski, VA 24301 | 2006-10-03 |
| 1881700250 | Cynthia Martin Southern | Dentist | 62 E Main Street, Pulaski, VA 24301 | 2006-08-21 |
| Find all providers in zip 24301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477853679 | Amanda T Beattie | Physician Assistant | 61 Delano St, Pulaski, NY 13142-1400 | 2010-10-22 |
| 1942378831 | Mary M Barbara | Physician Assistant | 61 Delano St, Pulaski, NY 13142-1400 | 2006-12-01 |
| 1770577272 | William E Downey | Physician Assistant | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
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| 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.