Phillip Nicodemus, CRNA
NPI 1417917899 · Anesthesiology Physician · Martinsburg, WV
Phillip Nicodemus, CRNA is a Anesthesiology Physician provider in Martinsburg, WV (NPI 1417917899).
Provider details
- NPI number
- 1417917899
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNA
- Sex
- Male
- License
- 33379 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Phillip Nicodemus's NPI number?
- Phillip Nicodemus's National Provider Identifier (NPI) is 1417917899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Nicodemus's specialty?
- Phillip Nicodemus is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Nicodemus located?
- Phillip Nicodemus's practice location on file with NPPES is 94 Old Mill Rd, Martinsburg, WV 25401-9284.
- What is Phillip Nicodemus's phone number?
- The practice phone number listed in the NPPES registry for Phillip Nicodemus is (304) 264-8933.
- Is Phillip Nicodemus's NPI active?
- Yes — Phillip Nicodemus's NPI (1417917899) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.