Organization Active NPI

Schwarzenberg & Schwarzenberg MDS

  • Family Medicine Physician
  • Kingwood, WV
National Provider Identifier
1033139829
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14978 Issued in WV
Legal business name
SCHWARZENBERG & SCHWARZENBERG MDS
Practice address
110 N Price St
Kingwood, WV 26537-1120
Phone
(304) 329-3500
Fax
(304) 329-2088
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Jana Leigh Dillon
Title
Office Manager
Phone
(304) 329-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 14978 WV Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 14977 WV

Addresses

Primary practice location

110 N Price St
Kingwood, WV 26537-1120

Mailing address

110 N Price St
Kingwood, WV 26537-1120
Phone (304) 329-3500

Other identifiers 3

IdentifierTypeStateIssuer
1598751687OtherWVINDIVIDUAL NPI M. SCHWARZ
0051964000MedicaidWV
14978OtherWVWV LICENSE #

National Provider Directory

National Provider Directory

Locations

110 N Price St
Kingwood, WV 26537
Phone (304) 329-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1033139829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N PRICE ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371120",
            "telephone_number": "304-329-3500",
            "fax_number": "304-329-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N PRICE ST",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371120",
            "telephone_number": "304-329-3500",
            "fax_number": "304-329-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARZENBERG & SCHWARZENBERG MDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-329-3500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "14978",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "14977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI M. SCHWARZ",
            "identifier": "1598751687",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051964000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV LICENSE #",
            "identifier": "14978",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.