MS. CHESNEY RICHARDSON MARTIN


Address: 1322 Locust Ave, Fairmont, WV 26554-1436
Phone: 3043660700

MS. CHESNEY RICHARDSON MARTIN (NPI# 1750395398) 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) 1750395398
Entity Type Individual
Full Name MS. CHESNEY RICHARDSON MARTIN
Other Name CHESNEY RASHELLE RICHARDSON
Credential PA-C, MPAS
Practice Address 1322 Locust Ave
Fairmont
WV 26554-1436
Mailing Address Po Box 1112
Fairmont
WV 26555-1112
Practice Telephone 3043660700
Mailing Telephone 3043660700
Mailing Fax Number 3043678766
Enumeration Date 2006-07-28
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810027154 05

Office Location

Street Address 1322 LOCUST AVE
City FAIRMONT
State WV
Zip Code 26554-1436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104887405 Rubina K Dasilva Physician Assistant 1322 Locust Ave, Fairmont, WV 26554 2006-03-28
1639790389 Melissa Kay Spring Nurse Practitioner 1322 Locust Ave, Fairmont, WV 26554-1436 2020-05-05
1710459557 Miranda Jean Riggs Nurse Practitioner 1322 Locust Ave, Fairmont, WV 26554-1436 2018-12-18
1336618990 Mark Elliott Morris Pharmacist 1322 Locust Ave, Fairmont, WV 26554-1436 2018-11-13
1598217218 Andrea King Nurse Practitioner 1322 Locust Ave, Fairmont, WV 26554-1436 2016-10-28
1821549833 Ravi Chandra Devabhakthuni Physician Assistant 1322 Locust Ave, Fairmont, WV 26554-1436 2016-10-14
1225489438 Jessica Lynn Taylor Nurse Practitioner 1322 Locust Ave, Fairmont, WV 26554-1436 2016-06-29
1518328707 Gary Michael White Social Worker 1322 Locust Ave, Fairmont, WV 26554-1436 2016-03-15
1720465909 Srividhya Sridharan Pediatrics 1322 Locust Ave, Fairmont, WV 26554-1436 2015-04-27
1629465786 Michelle Wakeley Social Worker 1322 Locust Ave, Fairmont, WV 26554-1436 2015-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801497680 Vanquisha Clay Technician 118 Conaway St, Fairmont, WV 26554 2020-11-06
1851903363 Denise S Greer Technician 1029 Prickett Road, Fairmont, WV 26554 2020-08-18
1730790775 Darla Lee Mcrobie Technician 105 C'anna Square, Fairmont, WV 26554 2020-08-13
1376025718 Jason Batten Counselor 621 Maryland Ave, Fairmont, WV 26554 2018-09-02
1437669066 Ultimate Health & Wellness, LLC Naturopath 2862 Whitehall Blvd, Whitehall, WV 26554 2017-10-10
1457872376 Michele R Lilley Nurse Practitioner 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 2017-06-30
1477906154 Rebecca Hayes-merrill Counselor 212 Adams St., 3rd Floor, Fairmont, WV 26554 2016-07-19
1790173417 Dennis Michael Lynch Counselor 5 Turf Lane, Fairmont, WV 26554 2015-01-05
1336558725 Nicole Savage Home Health Aide 122 Abbott St, Fairmont, WV 26554 2014-08-11
1124434550 Achuta Ram Aynampudi Psychiatry & Neurology 100 Stoney Hill Rd, Fairmont, WV 26554 2014-07-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073088506 Paige Nicole Berkhouse Physician Assistant 1325 Locust Ave, Fairmont, WV 26554-1435 2018-10-11
1659626117 Amy Gruber Physician Assistant 1325 Locust Ave, Fairmont, WV 26554-1435 2012-07-19
1992076996 Julie A Strother Physician Assistant 1325 Locust Ave, Fairmont, WV 26554-1435 2012-01-23
1881741155 Robin Ekstrom Physician Assistant 800 Medical Center Dr, Fairmont, MN 56031 2007-01-05
1821044843 Shelly Marie Palmer Physician Assistant 800 Medical Center Dr, Fairmont, MN 56031-4575 2006-05-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386270908 Bonnie Lynn Blackburn Physician Assistant 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 2020-03-15
1922638824 Sara B Johnson Physician Assistant 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 2020-01-19
1659835072 Kristen Nicole Williams Physician Assistant 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 2019-01-30
1629588876 Robert Theodore Hartman Physician Assistant 620 National Rd Ste 300, Wheeling, WV 26003-6560 2017-10-02
1366967986 Terri Leanne Belcher Physician Assistant 395 Emily Dr, Clarksburg, WV 26301-5505 2017-08-04
1760937056 Ryan Aston Physician Assistant 58 16th St Fl 4, Wheeling, WV 26003-3660 2016-08-17
1821470113 Lesley E. Weiss Physician Assistant 3200 Maccorkle Seave, Charleston, WV 25304-1227 2015-06-23
1891197323 Rachelle Lyle Stewart Physician Assistant 1500 Terrace St Ste 105, Hinton, WV 25951-9768 2014-09-16
1285043224 Sarah Gutman Brammer Physician Assistant 30 Medical Park Ste 211, Wheeling, WV 26003-6391 2014-08-04
1841603529 Timothy Douglas Physician Assistant 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 2014-06-10
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Competitor

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City FAIRMONT
Zip Code 26554

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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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