Active NPI
Harvey D Reisenweber, M.D.
- Family Medicine Physician
- Martinsburg, WV
National Provider Identifier
1366482010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09223
- Practice address
- 101 Marcley Dr
Martinsburg, WV 25401-2977 - Phone
- (304) 263-8911
- Fax
- (304) 263-9098
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09223 | WV | Primary |
Addresses
Primary practice location
101 Marcley Dr
Martinsburg, WV 25401-2977
Mailing address
101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9930421 | Other | WV | MEDICARE GROUP NUMBER |
| C10269 | Other | WV | RAILROAD GROUP |
| 080020707 | Other | WV | RAILROAD INDIV. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09223 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1366482010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARCLEY DR",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012977",
"telephone_number": "304-263-8911",
"fax_number": "304-263-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MARCLEY DR",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012977",
"telephone_number": "304-263-8911",
"fax_number": "304-263-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISENWEBER",
"first_name": "HARVEY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "09223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "9930421",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "C10269",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD INDIV. #",
"identifier": "080020707",
"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 May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.