Weston Primary Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

WV2054 Issued in WV

Legal business name

WESTON PRIMARY CARE, PLLC

Practice address

1 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 517-1301

Fax

(304) 517-1304

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Julie M Wentz, DO

Title

Physician

Phone

(304) 517-1301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1104081686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-517-1301",
            "fax_number": "304-517-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "WENTZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-517-1301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV2054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006556",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Virginia CVS Pharmacy LLC
• Beverly West
• Weston Family Chiropractic PLLC
• Weston Lewis County Emergency Ambulance Service Authority
• Weston Lewis County Emergency Ambulance Service Authority
• Weston Volunteer Fire Department, Inc.
• David L Whetsell, M.D.
• Carl W. White II
• Melody Kay White
• Alicia Marie Whiteman, PTA

• Family Medicine Physician in Weston, WV
• Providers in Weston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.