MOUNTAINEER PULMONOLOGY, PLLC (NPI# 1598135386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598135386 |
| Entity Type | Organization |
| Organization Name | MOUNTAINEER PULMONOLOGY, PLLC |
| Practice Address |
1200 Harrison Ave Ste 121 Elkins WV 26241-3392 |
| Practice Telephone | 3046366131 |
| Practice Fax Number | 3046375203 |
| Mailing Telephone | 3046366131 |
| Mailing Fax Number | 3046375203 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. RONALD ALAN MUDRY JR. (OWNER) |
| Authorized Official Telephone | 3046366131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
WV | Allopathic & Osteopathic Physicians |
| Street Address |
1200 HARRISON AVE STE 121 |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336483593 | Susan A Simmons | Nurse Practitioner | 1200 Harrison Ave Ste 121, Elkins, WV 26241-3392 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1447400759 | Peter H Abbrecht | Internal Medicine | 1352 Steamboat Run Rd, Shepherdstown, WV 25443-4005 | 2008-09-23 |
| 1952429706 | Michael William Blatt M D Inc | Internal Medicine | 2101 Jacob St Ste 702, Wheeling, WV 26003-3844 | 2007-03-27 |
| 1730205162 | Attila A. Lenkey, Jr. M.d. | Internal Medicine | 2101 Jacob St Ste 502, Wheeling, WV 26003-3800 | 2007-03-21 |
| 1841331105 | Houssein Abbass Youness | Internal Medicine | 41 Andalusian Dr, Unit85, Martinsburg, WV 25405-5600 | 2007-02-09 |
| 1982756094 | Mallinath Kayi | Internal Medicine | 401 Division St Ste 305, Charleston, WV 25309-1455 | 2007-01-17 |
| 1235229246 | Brijinder S Kochhar | Internal Medicine | 2950 Pennsylvania Ave, Weirton, WV 26062-3765 | 2006-10-13 |
| 1922105139 | Robert B Altmeyer M D Inc | Internal Medicine | 1131 National Road, Wheeling, WV 26003 | 2006-09-20 |
| 1275643314 | Melvin Theodore Saludes | Internal Medicine | 426 8th St Ste 305, Glen Dale, WV 26038-1451 | 2006-08-30 |
| 1548378276 | Narayana N Reddy | Internal Medicine | 800 Grand Central Mall Ste 4, Vienna, WV 26105-4100 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOUNTAINEER PULMONOLOGY, PLLC.
| 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.