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MOUNTAINEER PULMONOLOGY PLLC NPI 1598135386


NPI Information

NPI: 1598135386
Provider Name: MOUNTAINEER PULMONOLOGY, PLLC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 51D0896428

Address:
1200 HARRISON AVE STE 121
ELKINS, WV
ZIP 26241
Phone: (304) 636-6131
Get Directions

MOUNTAINEER PULMONOLOGY, PLLC is a pulmonary disease internal medicine in Elkins, WV. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MOUNTAINEER PULMONOLOGY, PLLC NPI is 1598135386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 HARRISON AVE STE 121
ELKINS, WV
ZIP 26241-392
Phone: (304) 636-6131
Fax: (304) 637-5203

The provider's authorized official is Ronald Alan Mudry .
The authorized official title is Owner and has the following contact phone number (304) 636-6131.

The CLIA number assigned to this NPI record is 51D0896428 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2015 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseWEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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