James Namsupak, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23919 Issued in WV

Practice address

401 Guffey St
John Manchin Sr. Health Care Center
Fairmont, WV 26554-4029

Phone

(304) 363-2500

NPI assigned

May 8, 2008

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General PracticeAlso: General Surgery

Education

West Virginia University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Virginia Caring Hospice, Arthurdale, WV, CCN 511504

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wvdhhr John Manchin Sr Health Care Center

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1417963000
  Medicare reassignment NPD
• Manchin Wva Facility Operations LLC

  dba Majestic Care of Manchin

  • Skilled Nursing Facility
  • Fairmont, WV
  • NPI 1215818711
  NPD (past)
• Wvdhhr John Manchin Sr. Health Care Center

  • Nursing Facility/Intermediate Care Facility
  • Fairmont, WV
  • NPI 1922404649
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice Care Corporation

  dba WV Caring

  • Community Based Hospice Care Agency
  • Arthurdale, WV
  • NPI 1194722595
  Care Compare affiliation

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1043486145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GUFFEY ST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544029",
            "telephone_number": "304-363-2500",
            "fax_number": "304-363-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GUFFEY ST",
            "address_2": "JOHN MANCHIN SR. HEALTH CARE CENTER",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544029",
            "telephone_number": "304-363-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMSUPAK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "23919",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "23919",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mva X-Ray Fairmont Clinic (Monongahela Valley Associaiton of Health Centers, Inc.)
• Mva X-Ray Fairmont Clinic
• Donna Lynn Myers
• Natasha Myers
• Myeyedr Optometry of West Virginia, PLLC (MyEyeDr.)
• National Youth Advocate Program
• Teresa Nations, BS
• Shannon Nease
• Jody Esther Nedrow
• Alex Neese

• General Practice Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• General Practice Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.