Organization Active NPI

Pulmonary Associates, Incorporated

  • Durable Medical Equipment & Medical Supplies
  • Martinsburg, WV
National Provider Identifier
1891961751
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
012590 Issued in WV
Legal business name
PULMONARY ASSOCIATES, INCORPORATED
Practice address
35 Monroe Street
Martinsburg, WV 25404-0000
Phone
(304) 262-8822
Fax
(304) 262-8823
NPI assigned
May 1, 2008
Last updated
Jan 5, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PULMONARY ASSOCIATES, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mr. Ronald W Combs, RT
Title
Owner
Phone
(304) 257-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 012590 WV Primary

Addresses

Primary practice location

35 Monroe Street
Martinsburg, WV 25404-0000

Mailing address

96 West Main Street
Romney, WV 26757-0000
Phone (304) 822-5417

Other identifiers 2

IdentifierTypeStateIssuer
000203849OtherWVMTN ST BC/BS
3810012709MedicaidWV

National Provider Directory

National Provider Directory
Part of
Pulmonary Associates Incorporated

Locations

35 Monroe St
Martinsburg, WV 25404
Phone (304) 262-8822

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1891961751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WEST MAIN STREET",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267570000",
            "telephone_number": "304-822-5417",
            "fax_number": "304-822-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONROE STREET",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254040000",
            "telephone_number": "304-262-8822",
            "fax_number": "304-262-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PULMONARY ASSOCIATES, INCORPORATED",
        "enumeration_date": "2008-05-01",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-257-3744",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "012590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN ST BC/BS",
            "identifier": "000203849",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012709",
            "state": "WV"
        }
    ],
    "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 Jan 5, 2012; 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.