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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Dominion Women'S Health, Inc. Current
since Aug 30, 2021
Accepting new patients
Obhg Virginia, LLC Current
since Mar 12, 2021
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)CodeLicenseStatePrimary
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

Verify at the official NPI Registry.