Individual provider Active NPI

Julia Patricia Pickard, M.D.

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1184664831
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21717 Issued in WV
Practice address
1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864
Phone
(304) 267-9355
Fax
(304) 267-9358
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21717 WV Primary

Addresses

Primary practice location

1000 Tavern Rd
Suite 100
Martinsburg, WV 25401-2864

Mailing address

1000 Tavern Rd
Suite100
Martinsburg, WV 25401-2864
Phone (304) 267-9355

Other identifiers 3

IdentifierTypeStateIssuer
P00232554OtherWVRAILROAD MEDICARE
9930421OtherWVMEDICARE GROUP NUMBER
C10269OtherWVRAILROAD GROUP

Other names 1

  • J Patricia Pickard Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000195 WV Practitioner - Family Practice 2668440199 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21717WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. Family Medicine CurrentSince Nov 1, 2017 Accepting new patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2017 Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Berkeley Family Medicine and Urgent Care Past Accepting new patients
Berkeley Family Medicina Associates Lab Past Accepting new patients

Locations

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

1000 Tavern Rd
Ste 100
Martinsburg, WV 25401
Phone (304) 267-9355

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1184664831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TAVERN RD",
            "address_2": "SUITE 100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-267-9355",
            "fax_number": "304-267-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "JULIA",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "21717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00232554",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9930421",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "C10269",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "PICKARD",
            "middle_name": "PATRICIA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.