Active NPI
Mountain State Medicine and Rheumatology PLLC
Doing business as MSMR Specialty
- Internal Medicine Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
- Doing business as
- MSMR Specialty
- Practice address
- 1120 Kanawha Blvd E Ste 200
Charleston, WV 25301-2400 - Phone
- (304) 400-4900
- Fax
- (304) 400-4907
- NPI assigned
- Mar 22, 2007
- Last updated
- Jan 12, 2026
- 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
- Doshia K Petry Ward, CMOM, CMC,CMPM, CMA
- Title
- Practice Manager
- Phone
- (304) 400-4900
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Specialist | 174400000X | 1818 | WV | |
| Specialist | 174400000X | 1767 | WV | |
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Rheumatology Physician | 207RR0500X | NU | ||
| Non-Pharmacy Dispensing Site | 332900000X | NU |
Addresses
Primary practice location
1120 Kanawha Blvd E Ste 200
Charleston, WV 25301-2400
Mailing address
1120 Kanawha Blvd E Ste 200
Charleston, WV 25301-2400
Phone (304) 400-4900
Other names 2
- MSMR Specialty
- MSMR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D1044564 | Mountain State Medicine & Rheumatology PLLC | Certificate of waiver | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
1120 Kanawha Blvd E
Ste 200
Charleston, WV 25301
Phone (304) 400-4900
400 Division St
Ste 10
South Charleston, WV 25309
Phone (304) 767-7890
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Rheumatology Physician
- Charleston, WV
- NPI 1679500532
-
- Internal Medicine Physician
- Charleston, WV
- NPI 1083645758
-
- Pharmacist
- South Charleston, WV
- NPI 1174696983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1982720801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 KANAWHA BLVD E STE 200",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012400",
"telephone_number": "304-400-4900",
"fax_number": "304-400-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 KANAWHA BLVD E STE 200",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012400",
"telephone_number": "304-400-4900",
"fax_number": "304-400-4907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "DOSHIA K",
"authorized_official_middle_name": "PETRY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "304-400-4900",
"authorized_official_credential": "CMOM, CMC,CMPM, CMA"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "1818",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "1767",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MSMR Specialty",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MSMR",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "MSMR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charleston, WV
- Mountain Care Network
- Mountain Emergency Physicians LLP
- Mountain Pride Orthopaedics
- Mountain State Eye Associates, PLLC
- Mountain State Medical Associates PLLC
- Mountain State Plastic Surgeons, PLLC
- Mountain State Prosthetics, LLC
- Mountain Top Home Care
- Mountaineer Cardiology PLLC
- Mountaineer Family Medicine, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.