Active NPI
Robert Warren Hull, MD
- Clinical Cardiac Electrophysiology Physician
- Morgantown, WV
National Provider Identifier
1174602924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 16949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170228 | Medicaid | SC | |
| GP2315 | Medicaid | SC | |
| GP1453 | Medicaid | SC | |
| GP2312 | Medicaid | SC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17022 | SC | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Cardiac Electrophysiology Physician
- Clemson, SC
- NPI 1740442565
-
- Clinical Cardiac Electrophysiology Physician
- Greenville, SC
- NPI 1669538062
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1336169739
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.