Active NPI
Julia Patricia Pickard, M.D.
- Family Medicine Physician
- Martinsburg, WV
National Provider Identifier
1184664831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00232554 | Other | WV | RAILROAD MEDICARE |
| 9930421 | Other | WV | MEDICARE GROUP NUMBER |
| C10269 | Other | WV | RAILROAD GROUP |
Other names 1
- J Patricia Pickard
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21717 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Mountain Health Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| East Mountain Health Physicians Inc. | Family Medicine | Current | Accepting new patients |
| East Mountain Health Physicians, Inc. | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.