Active NPI
Christopher Kenneth Ciardiello, PAC
- Emergency Medicine Physician
- Martinsburg, WV
National Provider Identifier
1194723353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 643
- Practice address
- Dry Run Road
Martinsburg, WV 25401 - Phone
- (304) 264-1000
- NPI assigned
- Jul 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 643 | WV | Primary |
Addresses
Primary practice location
Dry Run Road
Martinsburg, WV 25401
Mailing address
4700 Berwyn House Rd
Suite 207
College Park, MD 20740-2474
Phone (301) 220-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550738254033 | Other | WV | BCBSMT STATE |
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)
- Not enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Care Clinic/Center
- Hagerstown, MD
- NPI 1205826724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194723353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 BERWYN HOUSE RD",
"address_2": "SUITE 207",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207402474",
"telephone_number": "301-220-0150",
"fax_number": "301-220-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DRY RUN ROAD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-264-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARDIELLO",
"first_name": "CHRISTOPHER",
"middle_name": "KENNETH",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMT STATE",
"identifier": "550738254033",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.