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MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC NPI 1982720801


NPI Information

NPI: 1982720801
Provider Name: MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC

Other Name: MSMR

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 51D1044564

Address:
505 SUMMERS ST
CHARLESTON, WV
ZIP 25301
Phone: (304) 400-4900
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MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC is a specialist in Charleston, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC NPI is 1982720801. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Msmr.

The provider's business location address is:

505 SUMMERS ST
CHARLESTON, WV
ZIP 25301-610
Phone: (304) 400-4900
Fax: (304) 400-4907

The provider's authorized official is Doshia K Petry Ward .
The authorized official title is Practice Manager and has the following contact phone number (304) 400-4900.

The CLIA number assigned to this NPI record is 51D1044564 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/31/2022.


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
1174400000XSpecialist1818WEST VIRGINIANo
2174400000XSpecialist1767WEST 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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