NPIMap

Organization Active NPI

Montgomery Gen Cahgrp

  • Family Medicine Physician
  • Montgomery, WV
National Provider Identifier
1013372531
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTGOMERY GEN CAHGRP
Practice address
401 6TH Ave
Montgomery, WV 25136-2116
Phone
(304) 442-5151
Fax
(304) 442-7494
NPI assigned
Dec 29, 2015
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY GENERAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Sherri Murray
Title
Cfo
Phone
(304) 442-1246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

401 6TH Ave
Montgomery, WV 25136-2116

Mailing address

401 6TH Ave
Montgomery, WV 25136-2116
Phone (304) 442-5151

Other identifiers 1

IdentifierTypeStateIssuer
3810001437MedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Ziad Kahwash MD7 organizations share this tax ID, including this one
Part of
Ziad Kahwash MD

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1013372531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-5151",
            "fax_number": "304-442-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-5151",
            "fax_number": "304-442-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY GEN CAHGRP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY GENERAL HOSPITAL, INC",
        "enumeration_date": "2015-12-29",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "304-442-1246"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001437",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.