INTERNAL MEDICINE & GERIATRIC SPECIALISTS, INC. (NPI# 1982876587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982876587 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE & GERIATRIC SPECIALISTS, INC. |
| Other Organization Name | FAMILY MEDICAL ASSOCIATES |
| Practice Address |
1004 Tavern Rd Martinsburg WV 25401-2864 |
| Practice Telephone | 3042644433 |
| Practice Fax Number | 3042644446 |
| Mailing Telephone | 3042644433 |
| Mailing Fax Number | 3042644446 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | DR. CHRIS CLINTON QUE (PRESIDENT) |
| Authorized Official Telephone | 3042644433 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 23821 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
20638 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810011501 | 05 |
| Other Name | Type Code |
|---|---|
| Family Medical Associates | Doing Business As Name - Organization |
| Street Address |
1004 TAVERN RD |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669432043 | Chris Clinton Que | Internal Medicine | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2006-03-28 |
| 1790312197 | Natalie Henry | Dietitian, Registered | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2020-03-25 |
| 1750710141 | Neurology Center of Excellence | Clinic/Center | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2013-11-05 |
| 1467788968 | Eduardo Daniel Zamora | Psychiatry & Neurology | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2009-10-19 |
| 1881839892 | Woman and Child, PC | Pediatrics | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2008-12-04 |
| 1467659102 | Philomela Martirez Tabuena | Family Medicine | 1004 Tavern Rd, Martinsburg, WV 25401-2864 | 2007-06-27 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1316981525 | Joye A. Martin | Internal Medicine | 1540 Spring Valley Dr., Vamc, Huntington, WV 25704 | 2006-06-16 |
| 1326575465 | Tashnia Tahsin | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-05-19 |
| 1457729212 | Geps Physician Group of West Virginia PC | Internal Medicine | 840 Lee Rd, Follansbee, WV 26037-1783 | 2015-09-10 |
| 1235384439 | Guillermo Madero | Internal Medicine | 1249 15th St, Suite 2000, Huntington, WV 25701-3662 | 2008-12-02 |
| 1669679809 | Moussa Sissoko | Internal Medicine | 3415 Maccorkle Avenue Se, Charleston, WV 25304 | 2007-06-29 |
| 1326151747 | Richard D Layne | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-17 |
| 1316050073 | Richard J Ham | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-16 |
| 1861453136 | Glenn Russell Snider Jr. | Internal Medicine | 1 Medical Center Drive, Mail Stop 11, Clarksburg, WV 26301 | 2006-03-28 |
| 1770542052 | Pramoda Kumari Devabhaktuni | Internal Medicine | 1 Medical Center Drive, Louis A. Johnson Va Medical Center Drive, Clarksburg, WV 26301 | 2006-03-23 |
| 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.