Active NPI
New Creek Family Medicine PLLC
- Family Medicine Physician
- Keyser, WV
National Provider Identifier
1013331396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21506
- Legal business name
- NEW CREEK FAMILY MEDICINE PLLC
- Practice address
- 1234 New Creek Hwy
Keyser, WV 26726-9505 - Phone
- (304) 788-9320
- Fax
- (304) 788-9320
- NPI assigned
- Feb 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Scott Thomas, MD
- Title
- Phsician/Owner
- Phone
- (304) 788-9320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21506 | WV | Primary |
| Psychiatry Physician | 2084P0800X | 57703 | WV |
Addresses
Primary practice location
1234 New Creek Hwy
Keyser, WV 26726-9505
Mailing address
1234 New Creek Hwy
Keyser, WV 26726-9505
Phone (304) 788-9320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1234 New Creek Hwy
Keyser, WV 26726
Phone (304) 788-9320
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Keyser, WV
- NPI 1013945278
-
- Registered Nurse
- Keyser, WV
- NPI 1376082354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430784000000",
"number": "1013331396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 NEW CREEK HWY",
"city": "KEYSER",
"state": "WV",
"postal_code": "267269505",
"telephone_number": "304-788-9320",
"fax_number": "304-788-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 NEW CREEK HWY",
"city": "KEYSER",
"state": "WV",
"postal_code": "267269505",
"telephone_number": "304-788-9320",
"fax_number": "304-788-9320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW CREEK FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-07",
"last_updated": "2015-05-05",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PHSICIAN/OWNER",
"authorized_official_telephone_number": "304-788-9320",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WV",
"license": "21506",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "57703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keyser, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.