Martin L Codispoti (NPI# 1265717250, PAC ID# 3274791439) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265717250 |
| PAC ID by PECOS | 3274791439 |
| Professional Enrollment ID | I20120220001166 |
| Full Name | Martin L Codispoti |
| Organization Legal Name | CHAPMANVILLE PRIMARY CARE CLINIC |
| Address |
462 Main St Chapmanville WV 25508-4574 |
| Phone Number | 3043102517 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496021842 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 462 Main St, Chapmanville, WV 25508-4574 | 3043102517 | CHAPMANVILLE PRIMARY CARE CLINIC |
| Organization Legal Name | CHAPMANVILLE PRIMARY CARE CLINIC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Livia N Cabauatan | General Practice | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Rafael Modesto Rodighiero | Physician Assistant | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Street Address |
462 MAIN ST |
| City | CHAPMANVILLE |
| State | WV |
| Zip | 25508-4574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Ann Gregory | Optometry | Sanford Family Eyecare | 462 Main St, Suite 2, Springvale, ME 04083-1818 |
| Gloria J Krason | Podiatry | 462 Main St, Agawam, MA 01001-1833 | |
| Kathleen C Morris | Obstetrics/gynecology | Just for Women Gynecology Pa | 462 Main St, Suite 1, Springvale, ME 04083-1818 |
| Cathy A Miele | Obstetrics/gynecology | Just for Women Gynecology Pa | 462 Main St, Suite 1, Springvale, ME 04083-1818 |
| Livia N Cabauatan | General Practice | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Rafael Modesto Rodighiero | Physician Assistant | Chapmanville Primary Care Clinic | 462 Main St, Chapmanville, WV 25508-4574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Ellis | Physical Therapy | Southern West Virginia Physical Therapy | 80 Friendly Neighbor Dr, Suite E, Chapmanville, WV 25508 |
| Stephan A Ball | Physical Therapy | Southern West Virginia Physical Therapy | 80 Friendly Neighbor Dr, Suite E, Chapmanville, WV 25508 |
| Derek Dalton | Physical Therapy | 560 S Main St, Chapmanville, WV 25508-5001 | |
| Jon R Bowen | Family Medicine | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Amanda E Hinkle | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Anitra M Ellis | Nurse Practitioner | Rural Health Access Corporation | 386 Airport Rd, Chapmanville, WV 25508-9202 |
| Tomas E Vigo Paredes | Family Medicine | 40 Shae Ave, Chapmanville, WV 25508-9805 | |
| Carleton J Wood | Optometry | 101 S Main St, Chapmanville, WV 25508-9999 |
| City | CHAPMANVILLE |
| Zip Code | 25508 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHAPMANVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Martin L Codispoti.
| 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.