Active NPI
Michael L Ferrebee, M.D., PLLC
- Emergency Medicine Physician
- Fairmont, WV
National Provider Identifier
1033516646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18262
- Legal business name
- MICHAEL L FERREBEE, M.D., PLLC
- Doing business as
- Black Diamond Healthcare Services
- Practice address
- 1325 Locust Ave
Fairmont, WV 26554-1435 - Phone
- (304) 367-7510
- NPI assigned
- Nov 25, 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
- Dr. Michael L Ferrebee, M.D.
- Title
- Sole Owner
- Phone
- (304) 319-0841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18262 | WV | Primary |
Addresses
Primary practice location
1325 Locust Ave
Fairmont, WV 26554-1435
Mailing address
PO Box 4360
Morgantown, WV 26504-4360
Phone (304) 319-0841
Other names 1
- Black Diamond Healthcare Services
National Provider Directory
National Provider DirectoryLocations
1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Fairmont, WV
- NPI 1659626117
-
- Physician Assistant
- Taylorsville, NC
- NPI 1033422910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416873600000",
"number": "1033516646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4360",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265044360",
"telephone_number": "304-319-0841",
"fax_number": "304-599-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541435",
"telephone_number": "304-367-7510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL L FERREBEE, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A",
"authorized_official_last_name": "FERREBEE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "304-319-0841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "WV",
"license": "18262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Diamond Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.