Active NPI
William A Martin, DO
- Emergency Medicine Physician
- Sistersville, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1959
- Practice address
- 314 S Wells St
Sistersville, WV 26175-1098 - Phone
- (304) 652-2399
- Fax
- (304) 652-1448
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 1959 | WV | Primary |
Addresses
Primary practice location
314 S Wells St
Sistersville, WV 26175-1098
Mailing address
314 S Wells St
Sistersville, WV 26175-1098
Phone (304) 652-2399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004378000 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmartin121106@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | wmartin121106@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|---|
| I20091215000725 | WV | Practitioner - Emergency Medicine | 3577603968 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wetzel County Hospital IncReynolds Memorial Hospital, Inc
Practice addresses (Care Compare)
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8080
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307
Hospital & facility affiliations
- Reynolds Memorial Hospital, Inc
- Wetzel County 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wetzel County Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Wetzel County Hospital, Inc. | Current | Accepting new patients | |
| Wetzel County Hospital, Inc. | Current | Accepting new patients |
Locations
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
3 E Benjamin Dr
North Martinsvlle, WV 26155
Phone (304) 455-8000
3 E Benjamin Dr
Ste B
North Martinsvlle, WV 26155
Phone (304) 455-6003
Organizations & group practices 8
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 Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
WV
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
- Rural Health Clinic/Center
- New Martinsville, WV
- NPI 1255963120
-
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
-
- Rural Health Clinic/Center
- New Martinsville, WV
- NPI 1548893068
-
- Emergency Medicine Physician
- New Martinsville, WV
- NPI 1194753145
Emergency Medicine
-
- Rural Health Clinic/Center
- Pine Grove, WV
- NPI 1245846765
Hospital & facility affiliations 2
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": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1720074768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S WELLS ST",
"city": "SISTERSVILLE",
"state": "WV",
"postal_code": "261751098",
"telephone_number": "304-652-2399",
"fax_number": "304-652-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S WELLS ST",
"city": "SISTERSVILLE",
"state": "WV",
"postal_code": "261751098",
"telephone_number": "304-652-2399",
"fax_number": "304-652-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WILLIAM",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "1959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3004378000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmartin121106@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381660",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmartin121106@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Wheeling Ave",
"city": "Glen Dale",
"state": "WV",
"country_code": "US",
"postal_code": "260381660",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sistersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.