Christopher A. Martin, D.O.
Individual provider Active NPI Family Medicine Physician · Rainelle, WV
NPI 1851407142 · NPPES record last updated Sep 11, 2014
Key facts
- NPI
- 1851407142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ED0222A (WV)
- Practice address
- 645 Kanawha Ave
Rainelle, WV 25962-1013 - Phone
- (304) 438-6188
- Fax
- (304) 438-6819
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- West Virginia School of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rainelle Medical Center Inc
Practice addresses (Care Compare)
176 Medical Ctr Dr
Rainelle, WV 25962-1064
38378 Midland TRL E
Suite B
Caldwell, WV 24925-2101
Phone (304) 520-0182
390 Industrial Park Rd
Maxwelton, WV 24957-8073
Phone 30443861881002
458 Greenbrier St
Rupert, WV 25984-1404
Phone (304) 438-6188
Hospital & facility affiliations
- Adoration Home Health
- Home Care Plus, Incorporated
- Camc Greenbrier Valley Medical Center, Inc
- Summersville Regional Medical Center
- Princeton Community Hospital Assn Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121206000224 | WV | Practitioner - Family Practice | 6608961297 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635 | WV | MD | Dentist |
| ED0222A | WV | MD | Family Medicine Physician |
| 00965 | WV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current | Accepting new patients | |
| Rainelle Medical Center Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc | Current |
Accepting new patients | |
| Rainelle Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
Locations
101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818
38378 Midland Trl E
Ste B
Caldwell, WV 24925
Phone (304) 520-0182
296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747
595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052
149 Goheen St
Lewisburg, WV 24901
Phone (304) 520-0182
289 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 793-0005
2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042
390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610
176 Medical Center Dr
Rainelle, WV 25962
205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922
458 Greenbrier St
Rupert, WV 25984
Phone (304) 632-6602
128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454
Interoperability endpoints
- christophermartin@rmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 00965 | WV | |
| Family Medicine Physician | 207Q00000X | ED0222A | WV | Yes |
| Family Medicine Physician | 207Q00000X | 2635 | WV |
Addresses
Primary practice location
645 Kanawha Ave
Rainelle, WV 25962-1013
Mailing address
645 Kanawha Ave
Rainelle, WV 25962-1013
Phone (304) 438-6188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810024860 | Medicaid | WV | |
| 2744504 | Other | WV | BC/BS |
| 0034320000 | Medicaid | WV | |
| 0056758000 | Medicaid | WV |
Other providers in Rainelle, WV
- Sierra Mae Livingston
- Clara Mildred Llyod
- Summer Lone
- James E. Lowe
- Gretchen Emily Manspile
- Daonna Autumn Martin
- Kay McCoy
- Stephanie McCoy
- Sandra R McGraw
- Kayla Nicole McMillion
All providers in Rainelle, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.