Active NPI
Meredith 'Molly' J Magness, AU.D
- Audiologist
- Martinsburg, WV
National Provider Identifier
1598940603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-0257
- Practice address
- 2000 Foundation Way
Ste 3200
Martinsburg, WV 25401-9003 - Phone
- (304) 262-9400
- Fax
- (304) 262-9407
- NPI assigned
- Jan 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006058 | PA | |
| Audiologist | 231H00000X | A-0257 | WV | Primary |
Addresses
Primary practice location
2000 Foundation Way
Ste 3200
Martinsburg, WV 25401-9003
Mailing address
2500 Foundation Way
Martinsburg, WV 25401-9000
Phone (304) 264-9202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810019517 | Medicaid | WV | |
| AT006058 | Other | PA | LICENSE |
Other names 1
- Meredith 'Molly' J Quattro
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006058 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Associates, PC | Past | Accepting new patients | |
| University Healthcare Physicians, Inc. | Past | Accepting new patients | |
| University Healthcare Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1982311353
-
- Otolaryngology Physician
- Fairfax, VA
- NPI 1861534836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1598940603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FOUNDATION WAY",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019000",
"telephone_number": "304-264-9202",
"fax_number": "304-264-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 FOUNDATION WAY",
"address_2": "STE 3200",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019003",
"telephone_number": "304-262-9400",
"fax_number": "304-262-9407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNESS",
"first_name": "MEREDITH 'MOLLY'",
"middle_name": "J",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006058",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A-0257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810019517",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AT006058",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH 'MOLLY'",
"last_name": "QUATTRO",
"middle_name": "J",
"credential": "AU.D.",
"code": "1",
"type": "Former 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 Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.