The Martinsburg Work Center II

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

UD000018511001 Issued in WV

Legal business name

THE MARTINSBURG WORK CENTER II

Practice address

24 Integrity Ter
Martinsburg, WV 25405-3524

Phone

(304) 262-9600

Fax

(304) 262-6900

NPI assigned

May 29, 2008

Last updated

May 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Witchey

Title

Director

Phone

(304) 262-9600

Specialties & licenses 1

Addresses

Tax ID family

Martinsburg Work Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martinsburg Work Center LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Martinsburg, WV
  • NPI 1043417975
  NPD tax ID

Locations

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1730347402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1265",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021265",
            "telephone_number": "304-262-9600",
            "fax_number": "304-262-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 INTEGRITY TER",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254053524",
            "telephone_number": "304-262-9600",
            "fax_number": "304-262-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARTINSBURG WORK CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "WITCHEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-262-9600"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WV",
            "license": "UD000018511001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Thacker
• Nilay Bhasker Thaker, D.O.
• Thane S. Farmer, DDS
• The Feelings Nest PLLC
• The Giant Company, LLC (Martins Pharmacy #6107)
• Thera-Pharm Solutions LLC
• Thomas J. Meals DMD,PLLC (Meals Family Dentistry)
• Alexander Thomas
• Amber Lee Thomas
• Carol Marie Thomas, NP-C

• Preferred Provider Organization in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Preferred Provider Organization in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.