Active NPI
Patricia Mahoney, MD
- Internal Medicine Physician
- Martinsburg, WV
National Provider Identifier
1841267713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28629
- Practice address
- 99 Tavern Rd
Martinsburg, WV 25401-2890 - Phone
- (304) 263-4999
- Fax
- (865) 273-1645
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 36036 | TN | |
| Internal Medicine Physician | 207R00000X | 28629 | WV | Primary |
Addresses
Primary practice location
99 Tavern Rd
Martinsburg, WV 25401-2890
Mailing address
PO Box 1146
Martinsburg, WV 25402-1146
Phone (304) 263-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36036 | TN | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Blount Memorial Physician Group, Inc | Internal Medicine | Past | Accepting new patients |
| East Tennessee Women'S Care, PC | Past | Accepting new patients | |
| Health Ventures, Inc | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Berkeley Springs, WV
- NPI 1568186153
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Internal Medicine
-
- Specialist
- Knoxville, TN
- NPI 1457574345
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Primary Care Clinic/Center
- Knoxville, TN
- NPI 1558563262
-
- Federally Qualified Health Center (FQHC)
- Winchester, VA
- NPI 1023217452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1841267713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1146",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254021146",
"telephone_number": "304-263-4999",
"fax_number": "304-263-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 TAVERN RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012890",
"telephone_number": "304-263-4999",
"fax_number": "865-273-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TN",
"license": "36036",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "28629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.