Organization Active NPI

Panhandle Neurology Center, Inc.

  • Neurology Physician
  • Martinsburg, WV
National Provider Identifier
1063517753
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
21572 Issued in WV
Legal business name
PANHANDLE NEUROLOGY CENTER, INC.
Practice address
156 Health Care LN
Martinsburg, WV 25401-4009
Phone
(304) 264-0704
Fax
(304) 264-0804
NPI assigned
Sep 14, 2006
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Dr. Karoly Varga, M.D., PH.D.
Title
President
Phone
(304) 264-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 21572 WV Primary

Addresses

Primary practice location

156 Health Care LN
Martinsburg, WV 25401-4009

Mailing address

156 Health Care LN
Martinsburg, WV 25401-4009
Phone (304) 264-0704

Other identifiers 1

IdentifierTypeStateIssuer
3810000434MedicaidWV

National Provider Directory

National Provider Directory

Locations

156 Health Care Ln
Martinsburg, WV 25401
Phone (304) 264-0704

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1063517753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-264-0704",
            "fax_number": "304-264-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014009",
            "telephone_number": "304-264-0704",
            "fax_number": "304-264-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE NEUROLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "KAROLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-264-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "21572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000434",
            "state": "WV"
        }
    ],
    "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 Jun 19, 2009; 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.