Individual provider Active NPI

Robert Morgan Mace, MD

  • Family Medicine Physician
  • Webster Springs, WV
National Provider Identifier
1588641518
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09250 Issued in WV
Practice address
125 Diana Dr
Webster Springs, WV 26288-9078
Phone
(304) 847-5682
NPI assigned
Dec 30, 2005
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 09250 WV Primary

Addresses

Primary practice location

125 Diana Dr
Webster Springs, WV 26288-9078

Mailing address

PO Box 312
Webster Springs, WV 26288-0312
Phone (304) 847-5682

Other practice location 1

324 Miller Mountain Dr
Webster Springs, WV 26288-1026
Phone (304) 847-5682

Other identifiers 1

IdentifierTypeStateIssuer
0055601000MedicaidWV

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
I20031231000781 WV Practitioner - General Practice 7214836931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
West Virginia University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Memorial Hospital IncGroup PAC ID 6709275373, 9 clinicians

Practice addresses (Care Compare)

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09250WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Memorial Hospital, Inc. Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Webster County Memorial Hospital CurrentSince Sep 2, 2003 Accepting new patients

Locations

125 Diana Dr
Webster Springs, WV 26288
Phone (304) 847-5682

Interoperability endpoints

  • Direct secure messaging: rmace@wcmhwv.securechart.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1588641518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262880312",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DIANA DR",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262889078",
            "telephone_number": "304-847-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Miller Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "262881026",
            "country_code": "US",
            "telephone_number": "304-847-5682",
            "fax_number": "304-847-5985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACE",
        "first_name": "ROBERT",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "09250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055601000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Springs, WV

Sources for this page

Verify at the official NPI Registry.