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JACK CHARLES MARCUM CRNA
NPI 1215039482
Nurse Anesthetist, Certified Registered in Weston, WV

Active since September 01, 2006
230 HOSPITAL PLAZA, WESTON, WV 26452(304) 269-8000(304) 269-8090 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Charles Marcum Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK CHARLES MARCUM CRNA (NPI 1215039482) is an individual nurse anesthetist, certified registered in Weston, West Virginia, licensed in West Virginia (26817) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1215039482
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACK CHARLES MARCUMCredential: CRNA
Location Address230 HOSPITAL PLAZAWeston, WV 26452-8558
Mailing Address230 Hospital PlazaWeston, WV 26452-8558 · (304) 269-8032 · Fax (304) 269-8090
Phone(304) 269-8000
Fax(304) 269-8090
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215039482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WV · 26817
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
230 HOSPITAL PLAZA, Weston, WV 26452
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STONEWALL JACKSON MEMORIAL HOSPITAL CO
General Acute Care Hospital
230 HOSPITAL PLAZA
WESTON, WV 26452
Lewis County (304) 269-8000
MICHAEL LEE CASTO CRNA
Nurse Anesthetist, Certified Registered
230 HOSPITAL PLAZA
WESTON, WV 26452
Lewis County (304) 269-8000
DR. FRED DESHONG SCOTT D.O.
Dermatology
230 HOSPITAL PLAZA
WESTON, WV 26452
Lewis County (304) 269-8504
LARRY EUGENE MOORE CRNA
Nurse Anesthetist, Certified Registered
230 HOSPITAL PLAZA
WESTON, WV 26452
Lewis County (304) 269-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Marcum's NPI number?

The NPI number for Jack Marcum is 1215039482. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Jack Marcum located?

Jack Marcum practices at 230 Hospital Plaza, Weston, WV 26452. The listed phone number is (304) 269-8000.

What is Jack Marcum's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Jack Marcum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.