Individual provider Active NPI

Robert Warren Hull, MD

  • Clinical Cardiac Electrophysiology Physician
  • Morgantown, WV
National Provider Identifier
1174602924
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
16949 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134
Phone
(304) 599-8802
Fax
(304) 599-5607
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 16949 WV Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X 17022 SC

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134

Mailing address

2000 Mon Health Medical Park Dr
Ste 2300
Morgantown, WV 26505-1134
Phone (304) 599-8802

Other practice location 1

1325 Locust Ave # 32
Fairmont, WV 26554-1435
Phone (304) 363-6210

Other practice location 2

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Other identifiers 4

IdentifierTypeStateIssuer
170228MedicaidSC
GP2315MedicaidSC
GP1453MedicaidSC
GP2312MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17022SCMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Anesthesia Associates, PA Past Accepting new patients
Arrhythmia Consultants, P.a. Clinical Cardiac Electrophysiology Past Accepting new patients
Arrhythmia Consultants P.a. Clinical Cardiac Electrophysiology Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1174602924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR",
            "address_2": "STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051134",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2300",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051134",
            "telephone_number": "304-599-8802",
            "fax_number": "304-599-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Locust Ave # 32",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541435",
            "country_code": "US",
            "telephone_number": "304-363-6210",
            "fax_number": "604-363-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413885",
            "country_code": "US",
            "telephone_number": "304-636-5006",
            "fax_number": "304-636-4898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "ROBERT",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WV",
            "license": "16949",
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "17022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170228",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2315",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1453",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2312",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.