Internal Medicine of West Virginia, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

99SEV Issued in WV

Legal business name

INTERNAL MEDICINE OF WEST VIRGINIA, PLLC

Practice address

1008 Tavern Rd
Suite 103
Martinsburg, WV 25401-2801

Phone

(304) 264-9837

Fax

(304) 264-9838

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Cathy Marie Funk, MD

Title

Owner/Physician

Phone

(304) 264-9837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1285904623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD",
            "address_2": "SUITE 103",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012801",
            "telephone_number": "304-264-9837",
            "fax_number": "304-264-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 TAVERN RD",
            "address_2": "SUITE 103",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012801",
            "telephone_number": "304-264-9837",
            "fax_number": "304-264-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF WEST VIRGINIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "304-264-9837",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "99SEV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shannah Irish, PSYCHOLOGIST
• Laura Michele Irwin, R.PH,PHARM.D, CPS
• Alindon Isaacs, RDN
• Danielle Lynn Isbell, CNM
• Brittany Anne Iseminger-Smith, PA-C, ATC

• Primary Care Clinic/Center in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.