NPIMap

Organization Active NPI

Internal Medicine Associates

Doing business as Augusta Lung Specialists

  • Pulmonary Disease Physician
  • Morgantown, WV
National Provider Identifier
1740230994
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19742 Issued in WV
Legal business name
INTERNAL MEDICINE ASSOCIATES
Doing business as
Augusta Lung Specialists
Practice address
99 J D Anderson Dr
Morgantown, WV 26505-4000
Phone
(304) 598-2801
Fax
(304) 599-6463
NPI assigned
May 10, 2006
Last updated
May 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Ghassan Hani Kanj, MDNPI 1649359944
Title
President
Phone
(304) 598-2801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 19742 WV Primary

Addresses

Primary practice location

99 J D Anderson Dr
Morgantown, WV 26505-4000

Mailing address

99 J D Anderson Dr
Suite 5a
Morgantown, WV 26505
Phone (304) 598-2801

Other identifiers 2

IdentifierTypeStateIssuer
0075141000MedicaidWV
0074630000MedicaidWV

Other names 1

  • Augusta Lung Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1181 Pineview Dr
Morgantown, WV 26505

99 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-2291

99 J D Anderson Dr
Ste 5A
Morgantown, WV 26505

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1740230994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 J D ANDERSON DR",
            "address_2": "SUITE 5A",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-598-2801",
            "fax_number": "304-599-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265054000",
            "telephone_number": "304-598-2801",
            "fax_number": "304-599-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "KANJ",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "HANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-598-2801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "19742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075141000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074630000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Lung Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.