Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marian Rose Kavanaugh, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912584780

Dr. Marian Rose Kavanaugh, DPM is a Podiatry in Wheeling, West Virginia. Qualified in 2021, 5 years ago. Practices with Cgh Medical Center, a 201-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1 Medical Park
Wheeling, WV 26003-6379
Phone: (304) 455-8071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 10522 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912584780
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cgh Medical Center — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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