Individual provider Active NPI

Julie D. Leyzorek Hare, MD

  • Family Medicine Physician
  • Marlinton, WV
National Provider Identifier
1104113190
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25895 Issued in WV
Practice address
815 7TH Ave
Marlinton, WV 24954-1212
Phone
(413) 478-3567
Fax
(413) 200-2668
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25895 WV Primary

Addresses

Primary practice location

815 7TH Ave
Marlinton, WV 24954-1212

Mailing address

815 7TH Ave
Marlinton, WV 24954-1212
Phone (413) 478-3567

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherVAFAMILY MEDICINE

Other names 1

  • Julie D Hare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: prov_-_julie_d_hare@yourcarecommunity.org

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1104113190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 7TH AVE",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249541212",
            "telephone_number": "413-478-3567",
            "fax_number": "413-200-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 7TH AVE",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249541212",
            "telephone_number": "413-478-3567",
            "fax_number": "413-200-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYZOREK HARE",
        "first_name": "JULIE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "25895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "207Q00000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HARE",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlinton, WV

Sources for this page

Verify at the official NPI Registry.