Matthew A Polk (NPI# 1053574392, PAC ID# 0143345116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1053574392 |
| PAC ID by PECOS | 0143345116 |
| Professional Enrollment ID | I20100914000795 |
| Full Name | Matthew A Polk |
| Organization Legal Name | WAR MEMORIAL HOSPITAL, INC. |
| Address |
3774 Valley Rd Berkeley Springs WV 25411-4614 |
| Phone Number | 3042589433 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1355479460 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511309 | WAR MEMORIAL HOSPITAL INC |
| 511311 | HAMPSHIRE MEMORIAL HOSPITAL |
| 490005 | WINCHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1 Healthy Way, Berkeley Springs, WV 25411-7463 | 3042586981 | WAR MEMORIAL HOSPITAL, INC. |
| 1 Healthy Way, Suite 200, Berkeley Springs, WV 25411-7463 | 3042581234 | WAR MEMORIAL HOSPITAL, INC. |
| 226 Gayle Dr, Berkeley Springs, WV 25411-6301 | 3042589433 | WAR MEMORIAL HOSPITAL, INC. |
| 3774 Valley Rd, Berkeley Springs, WV 25411-4614 | 3042589433 | WAR MEMORIAL HOSPITAL, INC. |
| 329 Sunrise Blvd, Romney, WV 26757-4607 | 3048224932 | HAMPSHIRE MEMORIAL HOSPITAL, INC. |
| 363 Sunrise Blvd, Romney, WV 26757-4607 | 3048224933 | HAMPSHIRE MEMORIAL HOSPITAL, INC. |
| Organization Legal Name | WAR MEMORIAL HOSPITAL, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Brooke Bauler | Nurse Practitioner | War Memorial Hospital, Inc. | 351 N Pennsylvania Ave, Valley Health War Memorial Hospital, Hancock, MD 21750-1046 |
| Thomas Wilson Daugherty | Orthopedic Surgery | War Memorial Hospital, Inc. | 226 Gayle Dr, Berkeley Springs, WV 25411-6301 |
| Kristina Waugh | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Brenda Hashem | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Joseph Felix Hashem | Internal Medicine | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Allison K Wade | Nurse Practitioner | War Memorial Hospital, Inc. | 351 N Pennsylvania Ave, Valley Health War Memorial Hospital, Hancock, MD 21750-1046 |
| James Thomas Dingess | Nurse Practitioner | War Memorial Hospital, Inc. | 1 Healthy Way, Berkeley Springs, WV 25411-7463 |
| Arin Longfellow | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Street Address |
3774 VALLEY RD |
| City | BERKELEY SPRINGS |
| State | WV |
| Zip | 25411-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Waugh | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Brenda Hashem | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Joseph Felix Hashem | Internal Medicine | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Arin Longfellow | Nurse Practitioner | War Memorial Hospital, Inc. | 3774 Valley Rd, Berkeley Springs, WV 25411-4614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Berens | Family Medicine | 236 N Washington St, Berkeley Spgs, WV 25411-1551 | |
| Barry L Michael | Physician Assistant | Family Medicine of Berkeley Springs Inc | 236 N Washington St, Berkeley Spgs, WV 25411-1551 |
| Edward Quarantillo Iii | Family Medicine | 81 War Memorial Dr, Berkeley Springs, WV 25411-1737 | |
| Amanda G Michael | Family Medicine | 2055 Valley Rd, Berkeley Springs, WV 25411-4696 | |
| Sarita E Bowers | Nurse Practitioner | Unity Family Healthcare Inc | 1644 Valley Rd, Suite A, Berkeley Springs, WV 25411-4803 |
| David James Bowers | Nurse Practitioner | Unity Family Healthcare Inc | 1644 Valley Rd, Suite A, Berkeley Springs, WV 25411-4803 |
| Heather D Grove | Physician Assistant | Hahn Medical Practices, Inc. | 1795 Valley Rd, Berkeley Springs, WV 25411-4805 |
| Thomas Wilson Daugherty | Orthopedic Surgery | War Memorial Hospital, Inc. | 226 Gayle Dr, Berkeley Springs, WV 25411-6301 |
| Kyle J. Blair | Physical Therapy | Rankin Physical Therapy, Inc. | 23 Fitness Ln, Berkeley Springs, WV 25411-7080 |
| Andrea K Aberegg | Clinical Social Worker | Eastern Panhandle Mental Health (rehab) | 89 Sugar Hollow Rd, Berkeley Springs, WV 25411-7242 |
| Find all physicians in zip 25411 | |||
| City | BERKELEY SPRINGS |
| Zip Code | 25411 |
| Specialty | PODIATRY |
| City + Specialty | BERKELEY SPRINGS + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.