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Contact Information

MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
1120 KANAWHA BLVD E STE 200
CHARLESTON, WV25301-2400
 Phone: 304-400-4900
 Fax: 304-400-4907
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC

NPI Number 1982720801
LBN Legal business name MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Authorized official DOSHIA K WARD - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2007
Last updated 01/12/2026 - About 5 months ago
Identifiers
WV License # 1767
WV License # 1818
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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