Active NPI
Marc Hettlinger, MD
- Internal Medicine Physician
- Barboursville, WV
National Provider Identifier
1508094012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24912
- Practice address
- 178 Farmdale Rd
Barboursville, WV 25504-7679 - Phone
- (304) 840-0331
- Fax
- (304) 403-8138
- NPI assigned
- Jun 24, 2009
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24912 | WV | Primary |
Addresses
Primary practice location
178 Farmdale Rd
Barboursville, WV 25504-7679
Mailing address
178 Farmdale Rd
Barboursville, WV 25504-7679
Phone (304) 840-0331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0069267 | Medicaid | OH | |
| 3810024053 | Medicaid | WV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@hettlingerhealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24912 | WV | MD | Internal Medicine Physician |
Interoperability endpoints
- marc.hettlinger@531859155255300.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1508094012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 FARMDALE RD",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255047679",
"telephone_number": "304-840-0331",
"fax_number": "304-403-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 FARMDALE RD",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255047679",
"telephone_number": "304-840-0331",
"fax_number": "304-403-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETTLINGER",
"first_name": "MARC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "24912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0069267",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810024053",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@hettlingerhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "178 Farmdale Rd",
"city": "Barboursville",
"state": "WV",
"country_code": "US",
"postal_code": "255047679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.