EAST MOUNTAIN HEALTH PHYSICIANS, INC. (NPI# 1033681150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033681150 |
Entity Type | Organization |
Organization Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC. |
Practice Address |
4803 Gerrardstown Rd Inwood WV 25428-3450 |
Mailing Address |
220 Campus Blvd Ste 200 Winchester VA 22601-2889 |
Practice Telephone | 3048219011 |
Practice Fax Number | 3048219012 |
Mailing Telephone | 5405365100 |
Mailing Fax Number | 5405360235 |
Enumeration Date | 2018-12-31 |
Last Update Date | 2018-12-31 |
Authorized Official Name | RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 5405360103 |
Is Organization Subpart | Y |
Parent Organization Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Valley Health Family Medicine Inwood | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
1588149348 | East Mountain Health Physicians, Inc. | Radiology | 97 Administrative Dr Ste 200a, Martinsburg, WV 25404-6378 | 2018-09-27 |
1366925851 | East Mountain Health Physicians, Inc. | Counselor | 97 Administrative Dr Ste 200, Martinsburg, WV 25404-6378 | 2018-09-11 |
1538661848 | East Mountain Health Physicians, Inc. | Surgery | 1000 Tavern Rd Ste 200, Martinsburg, WV 25401-2853 | 2018-03-02 |
1477067577 | East Mountain Health Physicians, Inc. | Family Medicine | 1008 Tavern Rd Ste 201, Martinsburg, WV 25401-2859 | 2017-11-28 |
1831638519 | East Mountain Health Physicians, Inc. | Obstetrics & Gynecology | 1008 Tavern Rd Ste 202, Martinsburg, WV 25401-2801 | 2017-02-15 |
1215584750 | East Mountain Health Physicians, Inc. | Counselor | 3790 Hedgesville Rd Ste H, Hedgesville, WV 25427-6704 | 2019-08-20 |
1073096566 | East Mountain Health Physicians, Inc. | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2018-09-11 |
1093219628 | East Mountain Health Physicians, Inc. | Family Medicine | 100 Hospital Dr Ste 1, Petersburg, WV 26847-9570 | 2018-03-20 |
1629593603 | East Mountain Health Physicians, Inc. | Clinic/Center | 1 Healthy Way, Berkeley Springs, WV 25411-7463 | 2017-08-10 |
Street Address |
4803 GERRARDSTOWN RD |
City | INWOOD |
State | WV |
Zip Code | 25428-3450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447440060 | Ellen Adelia Doebler | Physician Assistant | 4803 Gerrardstown Rd, Inwood, WV 25428-3450 | 2007-07-30 |
1033400379 | Patrick Francis O'neil | Family Medicine | 4803 Gerrardstown Rd, Inwood, WV 25428-3450 | 2011-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881893550 | Shenandoah Valley Family Health Center | Family Medicine | 102 Hovater Drive, Inwood, WV 25428 | 2007-07-13 |
1033258314 | Catherine Marie Silver-riddell | Chiropractor | 7875 Winchester Ave, Inwood, WV 25428 | 2007-02-05 |
1174600696 | Pattersons Drug Store | Pharmacist | 115 Hovatter Dr, Inwood, WV 25428 | 2006-11-01 |
1952312506 | Jsb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5054 Gerrardstown Road, Inwood, WV 25428 | 2006-08-10 |
1801203856 | Matthew Miller | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428 | 2014-07-22 |
1750702072 | Danielle Redman | Registered Nurse | 5047 Gerrardstown Rd, Suite 2a, Inwood, WV 25428 | 2014-01-06 |
1972810034 | Kenneth Ray Trenary II | Pharmacist | 5054 Gerrardstown Road, Inwood, WV 25428 | 2010-09-09 |
1083897144 | Kenneth L Banks | Dentist | 4325 Gerrardstown Road, Inwood, WV 25428-0722 | 2007-12-12 |
1205449659 | Jhon Alzamora | Technician | 40 Montague Way, Inwood, WV 25428-1254 | 2020-08-26 |
1104469899 | Nicole Wennerberg | Nurse Practitioner | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2019-10-24 |
Find all providers in zip 25428 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437581733 | University Healthcare Physicians, Inc. | Family Medicine | 5047 Gerrardstown Rd, Ste A, Inwood, WV 25428-3951 | 2013-08-08 |
1881893550 | Shenandoah Valley Family Health Center | Family Medicine | 102 Hovater Drive, Inwood, WV 25428 | 2007-07-13 |
1245437979 | Amanda Combs Prince | Family Medicine | 5047 Gerrardstown Rd Ste 2b, Inwood, WV 25428-3951 | 2007-06-27 |
1992706402 | Allan Scott Detweiler | Family Medicine | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2005-08-09 |
1851398820 | Chandra M Gupta | Family Medicine | 101 Doughty Blvd, Inwood, NY 11096-2003 | 2005-07-05 |
1720424625 | Inwood Family Practice and Osteopathic Medicine P.C. | Family Medicine | 101 Doughty Blvd, Inwood, NY 11096-2003 | 2013-05-17 |
1033400379 | Patrick Francis O'neil | Family Medicine | 4803 Gerrardstown Rd, Inwood, WV 25428-3450 | 2011-04-20 |
1720122716 | South Shore Family Medical Associates, P.C. | Family Medicine | 271 Doughty Blvd, Inwood, NY 11096-2135 | 2007-02-16 |
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---|---|---|---|---|
1326652868 | Grace Health Care Pllc | Family Medicine | 223 5th Ave, Huntington, WV 25701-1809 | 2020-09-02 |
1356954259 | Relymd Medical Group Wv, Pllc | Family Medicine | 1627 Quarrier St, Charleston, WV 25311-2124 | 2020-08-28 |
1174133243 | Jacqulyn Marie Sheppard | Family Medicine | 2647 Raceview Dr, Ona, WV 25545-9636 | 2020-08-04 |
1194341594 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Elementary School, 45 School Street, Romney, WV 26757 | 2020-06-22 |
1730705328 | E. A. Hawse Health Center, Inc. | Family Medicine | Romney Middle School, 296 Calvert Drive, Romney, WV 26757 | 2020-06-19 |
1437775251 | E. A. Hawse Health Center, Inc. | Family Medicine | Hampshire High School, 157 Trojan Way, Romney, WV 26757-6317 | 2020-06-17 |
1235753286 | Community Health Association | Family Medicine | 146 Pinnell St, Ripley, WV 25271-9101 | 2020-06-05 |
1871114546 | Family Care Plus Pllc | Family Medicine | 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364 | 2020-05-04 |
1073142733 | Total Health and Recovery Clinic, LLC | Family Medicine | 1824 Murdoch Ave Bldg F Suite201, Parkersburg, WV 26101-3230 | 2020-04-05 |
1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.