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BRAXTON PRIMARY HEALTH CARE
NPI 1619090743
Internal Medicine in Burnsville, WV

Active since April 06, 2007CLIA 51D0883475 · Waiver
110 MUNICIPAL STREET, BURNSVILLE, WV 26335(304) 853-2278(304) 853-2520 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Braxton Primary Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAXTON PRIMARY HEALTH CARE (NPI 1619090743) is a healthcare organization registered as an internal medicine in Burnsville, West Virginia and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Antoine Katiny, Owner, as its authorized official.

NPPES Registry Identity

NPI1619090743
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBURNSVILLE MEDICAL CENTER PLLC
Location Address110 MUNICIPAL STREETBurnsville, WV 26335-0424
Mailing Address110 Municipal Street, Po Box 424Burnsville, WV 26335-0424 · (304) 853-2278 · Fax (304) 853-2520
Phone(304) 853-2278
Fax(304) 853-2520
Organization SubpartNo
Authorized OfficialAntoine KatinyOwner · (304) 853-2278
Enumeration DateApril 6, 2007
Last NPPES UpdateOctober 5, 2010
✔ NPI 1619090743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 17332
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 MUNICIPAL STREET, Burnsville, WV 26335
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Other Names 1

Other NameBraxton Primary Health Care

Other Identifiers 8

Medicare OSCAR/certification513884
Medicare PINKA2029191WV
Medicare UPINF60719WV
Medicaid0034771000WV
Medicare PINBU5138841WV
Medicaid0075944000WV
Medicare PINBU9371111WV
Medicare PINKA0751213WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0883475

Braxton Primary Health Care · Burnsville, WV
Active · expires Jun 9, 2028
CLIA Number51D0883475
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorAntoine Katiny MD
Laboratory Phone(304) 853-2278
Laboratory LocationBraxton Primary Health Care110 Municipal Street, Burnsville, WV 26335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANTOINE KATINY MD
Internal Medicine
110 MUNICIPAL STREET
BURNSVILLE, WV 26335
Braxton County (304) 853-2278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burnsville Medical Center PLLC's NPI number?

The NPI number for Burnsville Medical Center PLLC is 1619090743. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is also known as Braxton Primary Health Care.

Where is Burnsville Medical Center PLLC located?

Burnsville Medical Center PLLC is located at 110 Municipal Street, Burnsville, WV 26335. The listed phone number is (304) 853-2278.

What is Burnsville Medical Center PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Burnsville Medical Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D0883475) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Burnsville Medical Center PLLC accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Burnsville Medical Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Burnsville Medical Center PLLC was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.