JOHN J MOLLICA (NPI# 1972605079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972605079 |
| Entity Type | Individual |
| Full Name | JOHN J MOLLICA |
| Credential | DPM |
| Practice Address |
489 Mid Atlantic Pkwy Suite 1 Martinsburg WV 25404-3594 |
| Mailing Address |
Po Box 1961 Suite 1 Martinsburg WV 25402-1961 |
| Practice Telephone | 3042673030 |
| Practice Fax Number | 3042670660 |
| Mailing Telephone | 3042673030 |
| Mailing Fax Number | 3042670660 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | WV00358 | WV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 2102009000 | 05 | |
| WV | PTAN | SP01201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659700 | John Edward Mollica | Counselor | 311 Linebrook Rd, Ipswich, MA 01938-1118 | 2008-05-09 |
| Street Address |
489 MID ATLANTIC PKWY SUITE 1 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25404-3594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385854 | Krystal Murdock | Technician | 171 Shrewsburg Dr, Martinsburg, WV 25404 | 2020-10-28 |
| 1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
| 1275094575 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 115 Alkens Center Boulevard Plaza, Suite 17, Marinsburg, WV 25404 | 2019-03-28 |
| 1033626478 | Megan Mauricio | Physician Assistant | 61 Campus Drive, Suite 200, Martinsburg, WV 25404 | 2018-01-08 |
| 1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
| 1669822821 | Pamela Elaine Collins | Counselor | 2883 Greensburg Rd., Martinsburg, WV 25404 | 2016-06-20 |
| 1134509870 | Gabrielle Helms | Dentist | 58 Warm Springs Ave., Martinsburg, WV 25404 | 2015-06-08 |
| 1750794509 | Colette Robinson | Technician | 222 1/2 Vicky Bullett Street, Martinsburg, WV 25404 | 2014-06-10 |
| 1730591116 | Vel Anne Schlachter | Family Medicine | 35 Aiken Center, Martinsburg, WV 25404 | 2014-05-20 |
| 1689954109 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 | 2011-08-29 |
| Find all providers in zip 25404 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941663 | Richard Luther Rauch | Podiatrist | 123 Health Care Ln., Martinsburg, WV 25401 | 2006-02-15 |
| 1184603458 | Howard Gerald Malin | Podiatrist | 510 Butler Ave, Surgical Service, Martinsburg, WV 25401-9990 | 2006-01-13 |
| 1285616128 | Steven L Goldman | Podiatrist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-11-16 |
| 1598751539 | Theresa Fahy | Podiatrist | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548987 | Dupontdpm Pllc | Podiatrist | 3860 Teays Valley Rd Ste 6, Hurricane, WV 25526-9772 | 2018-11-29 |
| 1992244081 | Summersville Outpatient Center | Podiatrist | 702 Proffessional Park Dr, Summersville, WV 26651-2018 | 2017-02-22 |
| 1487816898 | Great Teays Podiatry, Pllc | Podiatrist | 3701 Teays Valley Rd Ste A, Hurricane, WV 25526-9645 | 2008-06-26 |
| 1477737427 | Ankle and Foot Care Centers | Podiatrist | #1 Fox Lane, Chester, WV 26034 | 2007-12-27 |
| 1306020060 | New Martinsville Foot and Ankle | Podiatrist | 317 Whitten Ln, New Martinsville, WV 26155-2145 | 2007-12-18 |
| 1447439831 | Brieloff Foot Centers | Podiatrist | Route 3 Blackburn Square, Suite 6, Keyser, WV 26726 | 2007-11-01 |
| 1912197146 | William Jeffrey Weily | Podiatrist | 6007 Us Route 60 E Ste 228, Barboursville, WV 25504-1042 | 2007-07-25 |
| 1144342338 | Geriatric Foot Care of W Vir | Podiatrist | 2620 Fairmont Ave, Suite 203, Fairmont, WV 26554-3494 | 2007-04-06 |
| 1265550826 | Beckley Podiatry Associates Inc | Podiatrist | 100 North Heights Drive, Beckley, WV 25801 | 2007-03-26 |
| 1548327067 | Phillip Kenneth Slampak | Podiatrist | 317 Witten Lane, New Martinsville, WV 26155 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25404 |
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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.