Rural Outreach Arthritis Center

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

16112 Issued in WV

Legal business name

RURAL OUTREACH ARTHRITIS CENTER

Practice address

2010 Doctor Oates Dr
104
Martinsburg, WV 25401-8896

Phone

(304) 262-0085

Fax

(304) 262-0356

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael Mohammad Rezaian, MDNPI 1598821449

Title

Supervisor

Phone

(304) 262-0085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Mohammad Rezaian, M.D.

  • Rheumatology Physician
  • Martinsburg, WV
  • NPI 1598821449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1568631950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR",
            "address_2": "104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-262-0085",
            "fax_number": "304-262-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 DOCTOR OATES DR",
            "address_2": "104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018896",
            "telephone_number": "304-262-0085",
            "fax_number": "304-262-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL OUTREACH ARTHRITIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "REZAIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "304-262-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WV",
            "license": "16112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Rudy
• Michelle Ruffner
• Sheri L Ruffner
• Krista Ruhland
• Heather Renee Runion
• Celena Russ, NP
• Alexandra Russell
• Brittany Nicole Russell, LPC, NCC, CCMHC
• Willard Dean Russell Jr., DDS
• Lindsay Dawn Russo, MSW, LCSW-C

• Rheumatology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Rheumatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.