Organization Active NPI

Gina R. Busch, M.D., Inc.

  • Specialist
  • Charleston, WV
National Provider Identifier
1013133941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13490 Issued in WV
Legal business name
GINA R. BUSCH, M.D., INC.
Practice address
9 Courtney Dr
Charleston, WV 25304-2699
Phone
(304) 925-2115
Fax
(304) 925-2088
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gina R. Busch, M.D.
Title
Owner
Phone
(304) 925-3115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13490 WV Primary

Addresses

Primary practice location

9 Courtney Dr
Charleston, WV 25304-2699

Mailing address

9 Courtney Dr
Charleston, WV 25304-2699
Phone (304) 925-2115

National Provider Directory

National Provider Directory

Locations

9 Courtney Dr
Charleston, WV 25304
Phone (304) 925-3115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3429/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013133941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COURTNEY DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042699",
            "telephone_number": "304-925-2115",
            "fax_number": "304-925-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COURTNEY DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042699",
            "telephone_number": "304-925-2115",
            "fax_number": "304-925-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA R. BUSCH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-925-3115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "13490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.