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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810027154 | 05 |
Street Address |
1322 LOCUST AVE |
City | FAIRMONT |
State | WV |
Zip Code | 26554-1436 |
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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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 |
Find all providers in zip 26554 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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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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.