EAST MOUNTAIN HEALTH PHYSICIANS, INC. (NPI# 1932621919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932621919 |
| Entity Type | Organization |
| Organization Name | EAST MOUNTAIN HEALTH PHYSICIANS, INC. |
| Other Organization Name | VALLEY HEALTH FAMILY MEDICINE - TAVERN ROAD |
| Practice Address |
1000 Tavern Rd Ste 100 Martinsburg WV 25401-2853 |
| Mailing Address |
220 Campus Blvd Suite 200 Winchester VA 22601 |
| Practice Telephone | 3042679355 |
| Practice Fax Number | 3042679358 |
| Mailing Telephone | 5405365100 |
| Mailing Fax Number | 5405360104 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-10-28 |
| 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 | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Valley Health Family Medicine - Tavern Road | Other Name - Individual/Organization |
| 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 |
| 1538661848 | East Mountain Health Physicians, Inc. | Surgery | 1000 Tavern Rd Ste 200, Martinsburg, WV 25401-2853 | 2018-03-02 |
| 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 |
| Street Address |
1000 TAVERN RD STE 100 |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730119447 | Stephanie Dawn Gladden | Nurse Practitioner | 1000 Tavern Rd Ste 100, Martinsburg, WV 25401-2853 | 2006-07-05 |
| 1821342999 | Amber Sullivan | Nurse Practitioner | 1000 Tavern Rd Ste 100, Martinsburg, WV 25401-2853 | 2012-10-29 |
| 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.