Organization Active NPI

West Virginia Weight and Wellness

  • Health Service Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1043484629
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
19195 Issued in WV
Legal business name
WEST VIRGINIA WEIGHT AND WELLNESS
Practice address
37 Veronica Dr
Martinsburg, WV 25404-3756
Phone
(304) 267-8300
Fax
(304) 267-8301
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cameron Dewayne Duffy, M.D.
Title
Chief Financial Officer
Phone
(304) 267-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 19195 WV Primary

Addresses

Primary practice location

37 Veronica Dr
Martinsburg, WV 25404-3756

Mailing address

37 Veronica Dr
Martinsburg, WV 25404-3756
Phone (304) 267-8300

National Provider Directory

National Provider Directory

Locations

37 Veronica Dr
Martinsburg, WV 25404
Phone (304) 264-4020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1043484629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 VERONICA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043756",
            "telephone_number": "304-267-8300",
            "fax_number": "304-267-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 VERONICA DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254043756",
            "telephone_number": "304-267-8300",
            "fax_number": "304-267-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VIRGINIA WEIGHT AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-267-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WV",
            "license": "19195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.