EAST MOUNTAIN HEALTH PHYSICIANS, INC. (NPI# 1538661848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538661848 |
| Entity Type | Organization |
| Organization Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC. |
| Other Organization Name | PANHANDLE CARDIOLOGY AND VASCULAR MEDICINE |
| Practice Address |
1000 Tavern Rd Ste 200 Martinsburg WV 25401-2853 |
| Mailing Address |
220 Campus Blvd Ste 200 Winchester VA 22601-2889 |
| Practice Telephone | 3042649485 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5405360103 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
VA | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Panhandle Cardiology and Vascular Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Campus Drive, Suite 201, Martinsburg, WV 25404 | 3042649485 | 3042649987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
| 1588149348 | East Mountain Health Physicians, Inc. | Radiology | 97 Administrative Dr Ste 200a, Martinsburg, WV 25404-6378 | 2018-09-27 |
| 1366925851 | East Mountain Health Physicians, Inc. | Counselor | 97 Administrative Dr Ste 200, Martinsburg, WV 25404-6378 | 2018-09-11 |
| 1477067577 | East Mountain Health Physicians, Inc. | Family Medicine | 1008 Tavern Rd Ste 201, Martinsburg, WV 25401-2859 | 2017-11-28 |
| 1831638519 | East Mountain Health Physicians, Inc. | Obstetrics & Gynecology | 1008 Tavern Rd Ste 202, Martinsburg, WV 25401-2801 | 2017-02-15 |
| 1215584750 | East Mountain Health Physicians, Inc. | Counselor | 3790 Hedgesville Rd Ste H, Hedgesville, WV 25427-6704 | 2019-08-20 |
| 1033681150 | East Mountain Health Physicians, Inc. | Family Medicine | 4803 Gerrardstown Rd, Inwood, WV 25428-3450 | 2018-12-31 |
| 1073096566 | East Mountain Health Physicians, Inc. | Family Medicine | 101 Marcley Dr, Martinsburg, WV 25401-2977 | 2018-09-11 |
| 1093219628 | East Mountain Health Physicians, Inc. | Family Medicine | 100 Hospital Dr Ste 1, Petersburg, WV 26847-9570 | 2018-03-20 |
| 1629593603 | East Mountain Health Physicians, Inc. | Clinic/Center | 1 Healthy Way, Berkeley Springs, WV 25411-7463 | 2017-08-10 |
| Street Address |
1000 TAVERN RD STE 200 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2853 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1508882416 | Sayeed Ahmed | Internal Medicine | 105 Tavern Road, Martinsburg, WV 25401 | 2006-07-14 |
| 1598107419 | Heart and Vascular Institute of Winchester LLC | Internal Medicine | 299 Medical Ct, Martinsburg, WV 25401-2899 | 2013-07-19 |
| 1417076399 | Ha Dinh | Internal Medicine | 510 Butler Ave, Martinsburg, WV 25401-9990 | 2007-03-29 |
| 1124099411 | Albert Y Choe | Internal Medicine | 510 Butler Ave, Martinsburg, WV 25401 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1811371321 | Heart & Vascular Medical Center Pllc | Internal Medicine | 427 Carriage Dr, Beckley, WV 25801-2805 | 2015-07-14 |
| 1407294838 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 405 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1477890630 | Integrated Health Care Providers, Inc. | Internal Medicine | 73 E 3rd Ave, Williamson, WV 25661-3530 | 2013-01-08 |
| 1154688141 | Integrated Health Care Providers, Inc. | Internal Medicine | 556 S Main St, Chapmanville, WV 25508-5001 | 2012-04-16 |
| 1154617678 | Carlos Alberto Rueda Rios | Internal Medicine | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2011-06-23 |
| 1669792024 | Getachew Zeleke | Internal Medicine | 1013 Garfield Ave, Parkersburg, WV 26101-4637 | 2010-06-09 |
| 1780906628 | Suncrest Town Centre-wvu | Internal Medicine | 600 Town Centre Drive, Morgantown, WV 26505-1872 | 2010-02-19 |
| 1316271067 | Davis Memorial Hospital - Uha | Internal Medicine | 1 Reed Street & Gorman Ave, Elkins, WV 26241-3496 | 2009-09-29 |
| 1285867739 | Uha- Wvuhi Davis | Internal Medicine | 903 Gorman Ave, Elkins, WV 26241-3149 | 2009-09-01 |
| 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.