Active NPI
Martin L Chadwell, DO
- Emergency Medicine Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3190
- Practice address
- 3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304 - Phone
- (304) 768-3941
- Fax
- (304) 766-4391
- NPI assigned
- Apr 21, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | ||
| Emergency Medicine Physician | 207P00000X | 3190 | WV | Primary |
Addresses
Primary practice location
3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304
Mailing address
3200 Maccorkle Ave SE
Camc Family Medicine Center
Charleston, WV 25304-1227
Phone (304) 768-3941
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181212001234 | WV | Practitioner - Emergency Medicine | 2769798008 | Reassigns benefits to 12 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- THS Physician Partners Inc
Practice addresses (Care Compare)
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800
Hospital & facility affiliations
- Thomas Memorial Hospital
- Boone Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3190 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| Community Health Association | Current | Accepting new patients | |
| THS Physician Partners Inc | Current | Accepting new patients | |
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Braxton County Memorial Hospital | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| West Virginia Health Care Cooperative Inc | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| Boone Memorial Hospital, Inc | Current | Accepting new patients | |
| West Virginia Health Care Cooperative Inc | Current | Accepting new patients | |
| Community Health Association | Past | Accepting new patients |
Locations
L3539
Columbus, OH 43260
Phone (304) 414-4800
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550
333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116
100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230
800 Ann St
Parkersburg, WV 26101
Phone (304) 865-5530
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
Interoperability endpoints
- mchadwell408442@direct.wvuhsdirect.com
Organizations & group practices 17
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 Medicine Physician
- Gassaway, WV
- NPI 1568401461
Emergency Medicine, WV
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1730128760
Emergency Medicine, WV
-
- Critical Access Hospital
- Summersville, WV
- NPI 1043778319
WV
-
- Rural Health Clinic/Center
- Comfort, WV
- NPI 1407421431
-
- Critical Access Hospital
- Madison, WV
- NPI 1639135221
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1508253147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"address_2": "CAMC FAMILY MEDICINE CENTER",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253041227",
"telephone_number": "304-768-3941",
"fax_number": "304-766-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 MACCORKLE AVE SE",
"address_2": "CAMC FAMILY MEDICINE CENTER",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-768-3941",
"fax_number": "304-766-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWELL",
"first_name": "MARTIN",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "3190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.