NPIMap

Organization Active NPI

East Mountain Health Physicians, Inc.

Doing business as Valley Health Family Medicine Spring Mills

  • Family Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1225678246
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Doing business as
Valley Health Family Medicine Spring Mills
Practice address
120 Campus Drive
Suite 211
Martinsburg, WV 25404
Phone
(681) 247-1260
Fax
(681) 247-1261
NPI assigned
Jan 7, 2020
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Renee Nevada Johnson
Title
Credentialing Coordinator
Phone
(540) 536-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

120 Campus Drive
Suite 211
Martinsburg, WV 25404

Mailing address

220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 536-5100

Other names 1

  • Valley Health Family Medicine Spring Mills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170425001245 WV Part B Supplier - Clinic/Group Practice 9133405327 Receives reassigned benefits from 160 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ranson, WV; Hedgesville, WV; Martinsburg, WV; Inwood, WV; Baker, WV

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2193030Valley Health Family Medicine Spring Mills120 Campus Drvie Suite 211, Martinsburg, WV 25404Certificate of waiverSep 16, 2026
51D2212774Valley Health Multispecialty Spring Mills120 Campus Drive Suite 221, Martinsburg, WV 25404Provider-performed microscopyJul 12, 2027

National Provider Directory

National Provider Directory
Part of
East Mountain HLTH Phys Inc

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1225678246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-536-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAMPUS DRIVE",
            "address_2": "SUITE 211",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25404",
            "telephone_number": "681-247-1260",
            "fax_number": "681-247-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MOUNTAIN HEALTH PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST MOUNTAIN HEALTH PHYSICIANS, INC.",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "NEVADA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "540-536-0103"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Family Medicine Spring Mills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.