Gastroenterology of Southern WV

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

13804 Issued in WV

Legal business name

GASTROENTEROLOGY OF SOUTHERN WV

Practice address

1844 Harper Rd
Beckley, WV 25801-3366

Phone

(304) 250-0307

Fax

(304) 250-0384

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Touraj Farid, MD

Title

Owner

Phone

(304) 250-0307

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1063618593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-250-0307",
            "fax_number": "304-250-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013366",
            "telephone_number": "304-250-0307",
            "fax_number": "304-250-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF SOUTHERN WV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "FARID",
        "authorized_official_first_name": "TOURAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-250-0307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "13804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001796158",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071981000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.