Jodi Gottardi
Individual provider Active NPI Physician Assistant · Glen Dale, WV
NPI 1124429196 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1124429196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2036 (WV)
- Practice address
- 800 Wheeling Ave
Glen Dale, WV 26038-1660 - Phone
- (304) 845-3211
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reynolds Memorial Hospital, Inc
Practice addresses (Care Compare)
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141021001093 | OH | Practitioner - Physician Assistant | 4880815620 | Reassigns benefits to 1 organization |
| I20230109002654 | WV | Practitioner - Physician Assistant | 4880815620 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-004078 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current |
Accepting new patients | |
| Reynolds Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Ohio Hills Health Services | Current |
Accepting new patients | |
| Ohio Hills Health Services | Current |
Accepting new patients |
Locations
101 E Main St
Barnesville, OH 43713
Phone (740) 239-6447
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
Interoperability endpoints
- jgottardibonar362179@direct.wvuhsdirect.com
- jodi.gottardi@ohhs.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50-004078 | OH | |
| Physician Assistant | 363A00000X | 2036 | WV | Yes |
Addresses
Primary practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Mailing address
800 Wheeling Ave
Glen Dale, WV 26038-1660
Other practice location 1
101 E Main St
Barnesville, OH 43713-1005
Phone (740) 425-5160
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jodi.gottardi@ohhs.eclinicaldirectplus.com |
Other providers in Glen Dale, WV
- Lisa Ann Gast
- Cathy Gellner
- Alber Lewis Ghobrial
- Glen Dale Medicine & Pediatrics, PLLC
- Glen Dale Vol. Fire Dept, Inc.
- Amber Rhyan Gower
- Peri Gray
- Crystal Hall
- Sarah Cecelia Harmon
- Kristen Ashlee Harris
All providers in Glen Dale, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.