DR. ANDREW H MACE JR. (NPI# 1700846953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700846953 |
| Entity Type | Individual |
| Full Name | DR. ANDREW H MACE JR. |
| Credential | M.D. |
| Practice Address |
101 Stadium Dr Morgantown WV 26506-7911 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984000 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
12312 | WV | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12312 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0123464000 | 05 |
| Street Address |
101 STADIUM DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721817 | Daniel Allen Martin | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2005-12-16 |
| 1023646023 | Shreyas Shirodkar | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-27 |
| 1972130946 | Bandar Ali Alyami | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1568099513 | Jacob Wayne Helsel Jr. | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1063049112 | Sher Ahmed Khan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1932736360 | Christopher Jeffery Gates | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1316574726 | Braden Ellis Taylor | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1659908945 | Gregory Adam Perkowski | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1043847841 | Katherine Louise Bergman | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| 1942837570 | Aisha Abbasi | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891754164 | Kenneth A Veselicky | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-23 |
| 1598724890 | Thomas D Roberts | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-23 |
| 1528028743 | Michael E Cunningham | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-23 |
| 1841259314 | Vickie L Williams | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083674238 | James M Wills | Radiology | 275 Dry Hill Road, Beckley, WV 25801 | 2006-03-23 |
| 1356579163 | Nick Treadwell | Radiology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2009-06-30 |
| 1215954268 | Kellie K Gooding | Radiology | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-07-16 |
| 1972599009 | Paul E Vandyke | Radiology | 1824 Murdoch Ave, Parkersburg, WV 26101-3230 | 2005-09-23 |
| 1366446999 | Johnsey L. Leef Jr. | Radiology | 1120 Kanawha Blvd E, Charleston, WV 25301-2400 | 2005-06-10 |
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.