Stephen J Mallott (NPI# 1881646719, PAC ID# 1951308477) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881646719 |
| PAC ID by PECOS | 1951308477 |
| Professional Enrollment ID | I20061026000063 |
| Full Name | Stephen J Mallott |
| Organization Legal Name | SHENANDOAH VALLEY MEDICAL SYSTEM, INC. |
| Address |
99 Tavern Rd Martinsburg WV 25401-2890 |
| Phone Number | 3042634999 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9739093097 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510008 | BERKELEY MEDICAL CENTER |
| 511319 | JEFFERSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 99 Tavern Rd, Martinsburg, WV 25401-2890 | 3042634999 | SHENANDOAH VALLEY MEDICAL SYSTEM, INC. |
| 99 Tavern Rd, Po Box 1146, Martinsburg, WV 25401-2890 | 3042634999 | SHENANDOAH VALLEY MEDICAL SYSTEM, INC. |
| Organization Legal Name | SHENANDOAH VALLEY MEDICAL SYSTEM, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriana Posadas | Physician Assistant | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Anthony Owunna | Internal Medicine | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Anita M Skena | Nurse Practitioner | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Stacy Miller | Family Medicine | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Glenn K Mcclaugherty | Psychiatry | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Ivelisse Morales-rios | Psychologist, Clinical | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Candy Lamas Rodriguez | Family Medicine | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Libby Ruby | Certified Nurse Midwife | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Ralph E Rickel Jr. | Family Practice | Shenandoah Valley Medical System, Inc. | 1330 Amherst St, Winchester, VA 22601-3000 |
| Krista Lynn Hopkins | Obstetrics/gynecology | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Street Address |
99 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip | 25401-2890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Owunna | Internal Medicine | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Krista Lynn Hopkins | Obstetrics/gynecology | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Melissa M Shetley | Nurse Practitioner | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Heather Anne Eckenrode | Nurse Practitioner | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Jessica Henry | Obstetrics/gynecology | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Po Box 1146, Martinsburg, WV 25401-2890 |
| H Alexander Wanger | Obstetrics/gynecology | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Po Box 1146, Martinsburg, WV 25401-2890 |
| Susan M Womeldorf | Emergency Medicine | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Christine R Baker | Clinical Social Worker | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Martinsburg, WV 25401-2890 |
| Linda H Gillet | Certified Nurse Midwife | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Po Box 1146, Martinsburg, WV 25401-2890 |
| Dawn R Jones | Internal Medicine | Shenandoah Valley Medical System, Inc. | 99 Tavern Rd, Po Box 1146, Martinsburg, WV 25401-2890 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Rauch | Podiatry | 123 Health Care Lane, Martinsburg, WV 25401 | |
| Paul G Welch | Nephrology | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Kerry L Bayer Cole | Nurse Practitioner | Hahn Medical Practices, Inc. | 215 Louisiana Ave, Martinsburg, WV 25401 |
| Pamela Jane Gavin | Nurse Practitioner | Otto Roza Md Pa | 103 Marcley Rd, Martinsburg, WV 25401 |
| Stephen Flax | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Maria Bogaert | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Frederick Wenzel | Dermatology | Dermatology Associates Inc | 1008 Winchester Ave, Martinsburg, WV 25401-1764 |
| Nicholas S Guzic | Optometry | Myeyedr Optometry of West Virginia Pllc | 910 Foxcroft Ave, Martinsburg, WV 25401-1835 |
| Karla Rae King | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Pamelyn Suzanne Gregory | Physical Therapy | King Physical Therapy Inc | 772 Foxcroft Ave, Martinsburg, WV 25401-1838 |
| Find all physicians in zip 25401 | |||
| City | MARTINSBURG |
| Zip Code | 25401 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARTINSBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephen J Mallott.
| 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.