PDI HEALTH WV LLC (NPI# 1013530633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013530633 |
Entity Type | Organization |
Organization Name | PDI HEALTH WV LLC |
Practice Address |
126 E. Burke Street Martinsburg WV 25401 |
Mailing Address |
12 Spencer St Brooklyn NY 11205 |
Practice Telephone | 8007499729 |
Mailing Telephone | 8007499729 |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-07-10 |
Authorized Official Name | MENACHEM TAUBER (CEO) |
Authorized Official Telephone | 8007499729 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720601347 | Pdi Health Wv LLC | Clinic/Center | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
Street Address |
126 E. BURKE STREET |
City | MARTINSBURG |
State | WV |
Zip Code | 25401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720601347 | Pdi Health Wv LLC | Clinic/Center | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
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 |
1942619770 | Erin Nail | Pharmacist | 1287 Winchester Ave, Martinsburg, WV 25401 | 2014-08-06 |
Find all providers in zip 25401 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033399175 | P & P Health Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 26 Sun Vly, Glen Dale, WV 26038-1222 | 2007-11-06 |
1770536260 | Cavalier Mobile Xray Co | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2089 National Rd, Wheeling, WV 26003-5240 | 2006-05-18 |
1295150092 | Quality Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 501 5th Ave, Suite 2, Huntington, WV 25701-1900 | 2014-03-03 |
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.