Martha Marie Wolosuk Hardin, CNM
Individual provider Active NPI Midwife · Yale, VA
NPI 1124619986 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1124619986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 20316 Elk Hound LN
Yale, VA 23897-5428 - Phone
- (434) 637-1327
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210428000837 | VA | Practitioner - Certified Nurse Midwife (CNM) | 3779991922 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominion Women'S Health, Inc. | Current |
Accepting new patients | |
| Obhg Virginia, LLC | Current |
Accepting new patients |
Locations
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Yes |
Addresses
Primary practice location
20316 Elk Hound LN
Yale, VA 23897-5428
Mailing address
20316 Elk Hound LN
Yale, VA 23897-5428
Phone (434) 637-1327
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.