Organization Active NPI

Wexford Health Solutions

  • General Practice Physician
  • Martinsburg, WV
National Provider Identifier
1104519966
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WEXFORD HEALTH SOLUTIONS
Practice address
94 Grapevine Rd
Martinsburg, WV 25405-3434
Phone
(630) 730-0302
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Nilay B Thaker, DO
Title
Owner
Phone
(630) 730-0302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

94 Grapevine Rd
Martinsburg, WV 25405-3434

Mailing address

4006 Candle Light Dr
Dayton, MD 21036-1141
Phone (630) 730-0302

National Provider Directory

National Provider Directory

Locations

94 Grapevine Rd
Martinsburg, WV 25405
Phone (304) 267-0046

484 Williamsport Pike
Martinsburg, WV 25404
Phone (304) 433-5894

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1104519966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 CANDLE LIGHT DR",
            "city": "DAYTON",
            "state": "MD",
            "postal_code": "210361141",
            "telephone_number": "630-730-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GRAPEVINE RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254053434",
            "telephone_number": "630-730-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "THAKER",
        "authorized_official_first_name": "NILAY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-730-0302",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.