DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC. (NPI# 1275810830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275810830 |
| Entity Type | Organization |
| Organization Name | DIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC. |
| Practice Address |
176 Health Care Ln Suite B Martinsburg WV 25401-4010 |
| Practice Telephone | 3042601060 |
| Practice Fax Number | 3042601062 |
| Mailing Telephone | 3042601060 |
| Mailing Fax Number | 3042601062 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | DR. PHILIP JOSEPH RYAN (PRESIDENT) |
| Authorized Official Telephone | 3042601060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
21393 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810022262 | 05 |
| Street Address |
176 HEALTH CARE LN SUITE B |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043396229 | Philip J A Ryan | Internal Medicine | 176 Health Care Ln, Suite B, Martinsburg, WV 25401-4010 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365549 | Novus Healthcare, Inc. | Internal Medicine | 307 Medical Ct, Martinsburg, WV 25401-2843 | 2015-05-13 |
| 1548478993 | Emma Morton-eggleston | Internal Medicine | 880 N Tennessee Ave Ste 110a, Martinsburg, WV 25401-9401 | 2007-05-18 |
| 1043396229 | Philip J A Ryan | Internal Medicine | 176 Health Care Ln, Suite B, Martinsburg, WV 25401-4010 | 2006-10-31 |
| 1740415405 | Sheila Paola Ramirez-rodriguez | Internal Medicine | 2500 Foundation Way, Suite 3100, Martinsburg, WV 25401-9000 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785737 | William M Jennings IIi | Internal Medicine | 1448 10th Avenue, Suite 100, Huntington, WV 25704 | 2012-10-22 |
| 1831400761 | Gilbert Alexander Fleming | Internal Medicine | 550 East Ridge Street, Harpers Ferry, WV 25425-1260 | 2010-06-25 |
| 1225132681 | Lee Ann Skaff | Internal Medicine | 4922 Maccorkle Ave Se, Charleston, WV 25304 | 2006-09-07 |
| 1639272594 | Irma Ullrich | Internal Medicine | 209 Poplar Drive, Morgantown, WV 26505 | 2006-09-06 |
| 1467560326 | Jeremy B Soule | Internal Medicine | 16 Sterling Dr, Suite 102, Bridgeport, WV 26330-9132 | 2006-08-29 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1962424903 | Raghda Tolaymat Sahloul | Internal Medicine | 4400 Maccorkle Avenue S.e., Charleston, WV 25304-1223 | 2006-07-25 |
| 1811922362 | Mary Elizabeth Faw | Internal Medicine | 3825 Teays Valley Road, Suite 100, Hurricane, WV 25526 | 2006-07-12 |
| 1871523241 | Frank Lee Schwartz | Internal Medicine | 604 Ann Street, Parkersburg, WV 26101 | 2006-07-03 |
| 1063457950 | Ronald J Innerfield | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
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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.