MARY ARCHER-KOIKE


Address: 1 Stadium Drive, Morgantown, WV 26506
Phone: 3045984800

MARY ARCHER-KOIKE (NPI# 1699873737) 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) 1699873737
Entity Type Individual
Full Name MARY ARCHER-KOIKE
Other Name MARY ARCHER
Credential CCC-A
Practice Address 1 Stadium Drive
Morgantown
WV 26506
Mailing Address Po Box 897
Morgantown
WV 26507-0897
Practice Telephone 3045984800
Mailing Telephone 3042937401
Mailing Fax Number 3042936963
Enumeration Date 2006-09-20
Last Update Date 2009-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist A-0037 WV Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 0160534000 05

Office Location

Street Address 1 STADIUM DRIVE
City MORGANTOWN
State WV
Zip Code 26506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548252281 Vincent Walter Delagarza Family Medicine 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 2005-08-18
1114270105 Tiffany D Lannan Nurse Practitioner 1 Stadium Drive, Morgantown, WV 26506 2012-10-16
1730438078 Amanda Kessler Occupational Therapist 1 Stadium Drive, Morgantown, WV 26506 2012-08-31
1205195971 Hilary Elaine Morley Pediatrics 1 Stadium Drive, Morgantown, WV 26506 2012-05-15
1780943977 Wvu Hospitals Student in an Organized Health Care Education/Training Program 1 Stadium Drive, Morgantown, WV 26506 2012-05-09
1770852519 Stephanie A Olcese Nurse Practitioner 1 Stadium Drive, Morgantown, WV 26506 2011-12-23
1578846762 Stephania Amanda Acord Occupational Therapist 1 Stadium Drive, Morgantown, WV 26506-7911 2011-09-23
1831471424 Terri Lynn Marcischak Registered Nurse 1 Stadium Drive, Wvu Hospitals, Morgantown, WV 26506 2011-09-09
1346538931 Brian Daniel Connolly Radiology 1 Stadium Drive, Morgantown, WV 26505 2011-07-16
1356634927 Lisa Marie Costello Internal Medicine 1 Stadium Drive, Morgantown, WV 26506 2011-05-16
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477079390 Vishakha W Rawool Audiologist 355 Oakland Street, 805 Allen Hall, Morgantown, WV 26506-6122 2017-08-22
1417393570 Morgantown Ent and Neurology-suncrest Audiologist 1065 Suncrest Towne Centre Drive, Morgantown, PA 26505-2712 2013-05-16
1457697880 Stacia Dawn Demoss Audiologist 1425 Earl L Core Rd, Morgantown, WV 26505-5885 2012-12-12
1871857193 Andrea Yost Audiologist 1191 Pineview Dr Ste H3, Morgantown, WV 26505-2778 2012-07-02
1558519009 Janet M Petitte Audiologist 355 Oakland Street/805 Allen Hall, Po Box 6122, Morgantown, WV 26506-6122 2008-09-08
1477742708 West Virginia University Audiologist 355 Oakland St., 805 Allen Hall, Morgantown, WV 26506-6122 2007-10-23
1922147164 Diane Carol Rice Audiologist 1188 Pineview Drive, Morgantown, WV 26505 2007-02-05
1114096484 Jeremy James Donai Audiologist Po Box 6122, Morgantown, WV 26506-6122 2006-11-08
1578569208 Gayle Neldon Audiologist 805 Allen Hall, Morgantown, WV 26506-6122 2005-06-27
1437622362 Shyler Kolberg Audiologist 1 Medical Center Dr, Morgantown, WV 26506-1200 2019-01-03
Find all providers in MORGANTOWN

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City MORGANTOWN
Zip Code 26506

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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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