Karen L Pettry Hultman (NPI# 1447241310, PAC ID# 6608822564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1447241310 |
| PAC ID by PECOS | 6608822564 |
| Professional Enrollment ID | I20061019000453 |
| Full Name | Karen L Pettry Hultman |
| Address |
5495 Maple Ln Fayetteville WV 25840-6872 |
| Gender | F |
| Credential | DO |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511317 | PLATEAU MEDICAL CENTER |
| 510012 | PLEASANT VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5495 Maple Ln, Fayetteville, WV 25840-6872 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
5495 MAPLE LN |
| City | FAYETTEVILLE |
| State | WV |
| Zip | 25840-6872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika L Beckett | Family Medicine | Oak Hill Clinic Corp | 5495 Maple Ln, Fayetteville, WV 25840-6872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Matthew Mrozek | Podiatry | 27 Parsons Ln, Fayetteville, WV 25840 | |
| Bruce L Cassis | Oral Surgery | 138 Lively St, Fayetteville, WV 25840-1148 | |
| Lisa Harris | Physical Therapy | 233 N Court St, Fayetteville, WV 25840-1233 | |
| Sherri D Arthur | Nurse Practitioner | Lifetree Medical Services LLC | 100 Hresan Blvd, Fayetteville, WV 25840-1333 |
| Stephanie J Daniel | Psychologist, Clinical | Fmrs Health Systems Inc | 209 W Maple St, Fayetteville, WV 25840-1413 |
| Laura A Epling Boggess | Qualified Audiologist | Oak Hill Clinic Corp | 211 W Maple Ave, Fayetteville, WV 25840-1445 |
| Faith A Tyler | Nurse Practitioner | Medexpress Urgent Care Inc West Virginia | 5447 Maple Ln B, Fayetteville, WV 25840-6872 |
| Krista L Copenhaver-mackowiak | Certified Registered Nurse Anesthetist (crna) | Sharp Anesthesia, LLC | 1246 Beckwith Rd, Fayetteville, WV 25840-9575 |
| Jamie M Sharp | Certified Registered Nurse Anesthetist (crna) | Sharp Anesthesia, LLC | 1246 Beckwith Rd, Fayetteville, WV 25840-9575 |
| Lindsay Marie Chambers | Certified Registered Nurse Anesthetist (crna) | Sharp Anesthesia, LLC | 1246 Beckwith Rd, Fayetteville, WV 25840-9575 |
| Find all physicians in zip 25840 | |||
| City | FAYETTEVILLE |
| Zip Code | 25840 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAYETTEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Karen L Pettry Hultman.
| 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.