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

Mark R Waddell, DO

Individual provider Emergency Medicine Physician · NPI 1780741066

Mark R Waddell, DO is a Family Practice in Lewisburg, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 1990, 36 years ago. Practices with Camc Greenbrier Valley Medical Center Inc, a 79-clinician group and works from 3 locations. Licensed in West Virginia.

Years since qualifying
36
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone: (304) 645-3220
Fax: (844) 479-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Hoylman Dr, Gassaway, WV 26624-9321 — (304) 364-1060
  • 1320 Maplewood Ave, Ronceverte, WV 24970-8016 — (304) 645-3220

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1317 (WV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 1317 (WV)

Record details

NPI number1780741066
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1990 (36 years in practice)
Group practice Camc Greenbrier Valley Medical Center Inc — 79 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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