Panhandle Medical Assoc PLLC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

1177 Issued in WV

Legal business name

PANHANDLE MEDICAL ASSOC PLLC

Practice address

65 Health Care LN
Martinsburg, WV 25401-4006

Phone

(304) 263-6997

Fax

(304) 263-8827

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Y. Ronk

Title

Office Manager

Phone

(304) 263-6997

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1528089703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014006",
            "telephone_number": "304-263-6997",
            "fax_number": "304-263-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 HEALTH CARE LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014006",
            "telephone_number": "304-263-6997",
            "fax_number": "304-263-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE MEDICAL ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "RONK",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-263-6997",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "WV",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073644000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalvan Patrick Palmer
• Melissa Palmer
• Florecita P Palomo, M.D.
• Panhandle Gastroenterology, PLLC
• Panhandle Home Health Inc
• Panhandle Medicine PLLC
• Panhandle Neurology Center, Inc.
• Panhandle Podiatry PLLC
• Panhandle Psychological Center, P.L.L.C.
• Panhandle Sleep Medicine, PLLC

• Ph.D. Medical Genetics in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Ph.D. Medical Genetics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.