Organization
MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Active
Organization
MOUNTAIN STATE MEDICINE AND RHEUMATOLOGY PLLC
Active
Other names
MSMR, MSMR Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
DOSHIA K PETRY WARD CMOM, CMC,CMPM, CMA (PRACTICE MANAGER)
(304) 400-4900
Entity
Organization
Contact information
Practice address
1120 KANAWHA BLVD E STE 200, CHARLESTON, WV 25301-2400
(304) 400-4900
(304) 400-4907
Mailing address
1120 KANAWHA BLVD E STE 200, CHARLESTON, WV 25301-2400
(304) 400-4900
(304) 400-4907
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
1767
WV
174400000X
Specialist
1818
WV
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/22/2007
Last updated
01/12/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up