Active NPI
Panhandle Neurology Center, Inc.
- Neurology Physician
- Martinsburg, WV
National Provider Identifier
1063517753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21572
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000434 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.