Active NPI
Panhandle Gastroenterology, PLLC
- Gastroenterology Physician
- Martinsburg, WV
National Provider Identifier
1801098835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2108
- Legal business name
- PANHANDLE GASTROENTEROLOGY, PLLC
- Practice address
- 2000 Foundation Way
Suite 3500
Martinsburg, WV 25401-9583 - Phone
- (304) 260-0160
- Fax
- (304) 260-0162
- NPI assigned
- Jun 1, 2007
- Last updated
- Sep 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shahin M Rahimian, D.O.
- Title
- Owner
- Phone
- (304) 260-0160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2108 | WV | Primary |
Addresses
Primary practice location
2000 Foundation Way
Suite 3500
Martinsburg, WV 25401-9583
Mailing address
2000 Foundation Way
Suite 3500
Martinsburg, WV 25401-9583
Phone (304) 260-0160
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001767978 | Other | WV | BLUE CROSS BLUE SHEILD |
| 3810003032 | Medicaid | WV | |
| 001767952 | Other | WV | BLUE CROSS BLUE SHIELD |
Other names 1
- Panhandle Gastroenterology, PLLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411603200000",
"number": "1801098835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 FOUNDATION WAY",
"address_2": "SUITE 3500",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019583",
"telephone_number": "304-260-0160",
"fax_number": "304-260-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 FOUNDATION WAY",
"address_2": "SUITE 3500",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019583",
"telephone_number": "304-260-0160",
"fax_number": "304-260-0162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANHANDLE GASTROENTEROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2014-09-25",
"status": "A",
"authorized_official_last_name": "RAHIMIAN",
"authorized_official_first_name": "SHAHIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-260-0160",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "2108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "001767978",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003032",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001767952",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Panhandle Gastroenterology, PLLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.