East Mountain Health Physicians, Inc.
NPI 1093219628ActiveOrganization· Family Medicine· Petersburg, WV
Family Medicine in Petersburg, West Virginia, registered in NPPES in March 2018, part of East Mountain Health Physicians, Inc. The authorized official on file is Renee Nevada Johnson, Credentialing Coordinator.
Overview
| NPI | 1093219628 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Mountain Health Physicians, Inc. |
| NPI issued | Mar 20, 2018 |
| Last updated in NPPES | Dec 30, 2020 |
| Certified by provider | Dec 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Family Medicine | 207Q00000X | — | WV |
| Urology | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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