Active NPI
Coal Valley Physicians Inc
- Family Medicine Physician
- Montgomery, WV
National Provider Identifier
1043344682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred L. Akerberg, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050281000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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.