BERKELEY FAMILY MEDICINE (NPI# 1609974229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609974229 |
| Entity Type | Organization |
| Organization Name | BERKELEY FAMILY MEDICINE |
| Other Organization Name | BERKELEY FAMILY MEDICINE ASSOCIATES, INC. |
| Practice Address |
101 Marcley Dr Martinsburg WV 25401-2977 |
| Practice Telephone | 3042638911 |
| Practice Fax Number | 3042639450 |
| Mailing Telephone | 3042638911 |
| Mailing Fax Number | 3042639450 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | MS. ANGELA L BARBER (BILLING MANAGER) |
| Authorized Official Telephone | 3042638911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 011191 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | DMEPOS PTAN | 6784310001 | 01 |
| WV | RAILROAD MEDICARE | C10269 | 01 |
| WV | 0011451000 | 05 |
| Other Name | Type Code |
|---|---|
| Berkeley Family Medicine Associates, Inc. | Doing Business As Name - Organization |
| Street Address |
101 MARCLEY DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366482010 | Harvey D Reisenweber | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2006-06-08 |
| 1073096566 | East Mountain Health Physicians, Inc. | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2018-09-11 |
| 1417496597 | Samuel Ryan Morris | Internal Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2017-02-22 |
| 1932440252 | Berkeley Family Medicine and Urgent Care | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2013-03-12 |
| 1407100860 | James Allen Payne | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2012-11-06 |
| 1528359825 | Candice Marie Moreland | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2011-04-21 |
| 1043536899 | Samuel Ryan Morris | Internal Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2010-04-19 |
| 1366681652 | Heather Reay Jewell | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2009-02-11 |
| 1275717449 | Tuyet Mai Dang Houston | Physician Assistant | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2007-12-24 |
| 1518028521 | Berkeley Family Medicina Associates Lab | Clinical Medical Laboratory | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2006-12-13 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
| 1477067577 | East Mountain Health Physicians, Inc. | Family Medicine | 1008 Tavern Rd Ste 201, Martinsburg, WV 25401-2859 | 2017-11-28 |
| 1730591116 | Vel Anne Schlachter | Family Medicine | 35 Aiken Center, Martinsburg, WV 25404 | 2014-05-20 |
| 1659641009 | Alexandria Arvon | Family Medicine | 299 Medical Ct, Martinsburg, WV 25401-2899 | 2012-01-03 |
| 1699063750 | Jillian Lee Wilford | Family Medicine | 97 Administrative Dr, Martinsburg, WV 25404-6378 | 2011-07-11 |
| 1447484803 | Miranda Lynn Albaugh | Family Medicine | 1355 Edwin Miller Blvd Ste A, Martinsburg, WV 25404-3703 | 2009-05-13 |
| 1730248006 | Frank A Hamilton Jr. | Family Medicine | 1125 Circle Dr, Martinsburg, WV 25401-1817 | 2006-12-06 |
| 1649365487 | Cherry B. Lobaton Md, Inc | Family Medicine | 1004 Sushruta Dr Ste D, Martinsburg, WV 25401-8898 | 2006-10-04 |
| 1497778427 | Ernesto H Agbayani | Family Medicine | 155 Health Care Ln, Martinsburg, WV 25401-4008 | 2006-07-25 |
| 1407878655 | Mikela Jennifer Swenson | Family Medicine | 1355 Edwin Miller Blvd, Martinsburg, WV 25404-3703 | 2006-07-24 |
| Find all providers in MARTINSBURG | ||||
| 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.