Dr Mark J Hardway, MD | |
10003 Webster Rd, Camden On Gauley, WV 26208-7713 | |
(304) 226-5725 | |
(304) 226-5531 |
Full Name | Dr Mark J Hardway |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 10003 Webster Rd, Camden On Gauley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932163722 | NPI | - | NPPES |
2003133000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 20074 (West Virginia) | Primary |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1558340414 PECOS PAC ID: 6002867850 Enrollment ID: O20050209000321 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861872541 PECOS PAC ID: 6002867850 Enrollment ID: O20160125000001 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174065916 PECOS PAC ID: 6002867850 Enrollment ID: O20170613000749 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427585157 PECOS PAC ID: 6002867850 Enrollment ID: O20171010003869 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811420250 PECOS PAC ID: 6002867850 Enrollment ID: O20180123000206 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700312618 PECOS PAC ID: 6002867850 Enrollment ID: O20180413002227 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508372228 PECOS PAC ID: 6002867850 Enrollment ID: O20190208001062 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669947222 PECOS PAC ID: 6002867850 Enrollment ID: O20200423002284 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394648 PECOS PAC ID: 6002867850 Enrollment ID: O20200429000282 |
Entity Name | Camden On Gauley Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801493499 PECOS PAC ID: 6002867850 Enrollment ID: O20230629001639 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark J Hardway, MD 10003 Webster Rd, Camden On Gauley, WV 26208-7713 Ph: (304) 226-5527 | Dr Mark J Hardway, MD 10003 Webster Rd, Camden On Gauley, WV 26208-7713 Ph: (304) 226-5725 |