Mountaineer Radiologists Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOUNTAINEER RADIOLOGISTS INC

Practice address

1306 Kanawha Blvd E
Building 2
Charleston, WV 25301-3000

Phone

(304) 951-1588

NPI assigned

Jul 15, 2005

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Zekan, MD

Title

President

Phone

(304) 951-1588

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1154320869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253241111",
            "telephone_number": "304-951-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 KANAWHA BLVD E",
            "address_2": "BUILDING 2",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253013000",
            "telephone_number": "304-951-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER RADIOLOGISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "ZEKAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-951-1588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006508",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154320869",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002431",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001711957",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006507",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountaineer Family Medicine, Inc.
• Mountaineer Family Medicine, Inc.
• Mountaineer Homecare, LLC (Mountaineer HomeCare)
• Mountaineer Imaging Center
• Mountaineer Laboratories LLC
• Mountaineer Surgical Associates PLLC
• Mary Beth Mounts, LMT
• Tiffany Mounts, OCCUPATIONAL THERAPI
• Sanchita Mourya
• Albeir Y Mousa, MD

• Diagnostic Radiology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Diagnostic Radiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.