Professional Medical Ultrasonics Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2012003732 Issued in WV

Legal business name

PROFESSIONAL MEDICAL ULTRASONICS INC.

Practice address

4089 Webster Rd Suite 5
Summersville, WV 26651

Phone

(304) 872-8396

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Angel Rosas, MD

Title

Physician

Phone

(304) 252-0609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1417229329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CARRIAGE DR",
            "city": "BECKELY",
            "state": "WV",
            "postal_code": "258012806",
            "telephone_number": "304-252-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 WEBSTER RD SUITE 5",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL ULTRASONICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-252-0609",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WV",
            "license": "2012003732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund Leo Prendergast Jr., OD
• Myra D. Priddy, MD
• Shandace Pritt, LPN
• Sherry Lynn Proctor
• Taylor M Proctor
• Professional Park Leasing Co., LLC (Summersville Healthcare Center)
• Haley Pruitt
• Hollea M. Pugh, OTR
• William E Pugh III, O.D.
• Ann Renee Rader

• Multi-Specialty Clinic/Center in Summersville, WV
• Providers in Summersville, WV by specialty
• Multi-Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.