Internal Medicine & Geriatric Specialists, Inc.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

20638 Issued in WV

Legal business name

INTERNAL MEDICINE & GERIATRIC SPECIALISTS, INC.

Practice address

1004 Tavern Rd
Martinsburg, WV 25401-2864

Phone

(304) 264-4433

Fax

(304) 264-4446

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chris Clinton Que, M.D.NPI 1669432043

Title

President

Phone

(304) 264-4433

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Family Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chris Clinton Que, M.D.

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1669432043

  Geriatric Medicine, WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1982876587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-264-4433",
            "fax_number": "304-264-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "304-264-4433",
            "fax_number": "304-264-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE & GERIATRIC SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-264-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23821",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "20638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011501",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kasey Ingram
• Inner Awakening Counseling & Consultation, PLLC
• Christopher Michael Inquanti
• Integrated Medical Clinic
• Intergrated Medical Services, LLC
• Internal Medicine of West Virginia, PLLC
• Shannah Irish, PSYCHOLOGIST
• Laura Michele Irwin, R.PH,PHARM.D, CPS
• Alindon Isaacs, RDN
• Danielle Lynn Isbell, CNM

• Geriatric Medicine (Internal Medicine) Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Geriatric Medicine (Internal Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.