Organization Active NPI

Coal Valley Physicians Inc

  • Family Medicine Physician
  • Montgomery, WV
National Provider Identifier
1043344682
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COAL VALLEY PHYSICIANS INC
Practice address
401 6TH Ave
D303
Montgomery, WV 25136-2116
Phone
(304) 442-9582
Fax
(304) 442-1334
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Fred L. Akerberg, MDNPI 1144226424
Title
Owner
Phone
(304) 442-9582

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

401 6TH Ave
D303
Montgomery, WV 25136-2116

Mailing address

PO Box 330
Montgomery, WV 25136-0330
Phone (304) 233-9314

Other identifiers 1

IdentifierTypeStateIssuer
0050281000MedicaidWV

National Provider Directory

National Provider Directory

Locations

401 6th Ave
#D303
Montgomery, WV 25136
Phone (304) 442-9582

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1043344682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251360330",
            "telephone_number": "304-233-9314",
            "fax_number": "304-233-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "address_2": "D303",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-9582",
            "fax_number": "304-442-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAL VALLEY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "AKERBERG",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-442-9582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050281000",
            "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 Oct 22, 2007; 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.