Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CHARLES MARCUM, CRNA
ActiveJACK CHARLES MARCUM, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WESTON, West Virginia. NPI 1215039482 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · WESTON, WV
Registration Details
- NPI Number
- 1215039482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.958079808385 yrs)
- Last Updated
- Jul 8, 2007
- License
-
26817 (WV)
Practice Information
- Address
-
230 HOSPITAL PLAZAWESTON, WV, 264528558Browse WV providers · Browse ZIP 26452
- Phone
- 3042698000
- Fax
- 3042698090
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in WESTON, WV
| Name | Credential | NPI |
|---|---|---|
| JUSTIN DAVID SMALLRIDGE | CRNA | 1417904848 |
| LARRY EUGENE MOORE | CRNA | 1891899308 |
| MICHAEL LEE CASTO | CRNA | 1689778193 |
| ROBERT L GOODSON | CRNA | 1780178111 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.