Active NPI
Wexford Health Solutions
- General Practice Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WEXFORD HEALTH SOLUTIONS
- Practice address
- 94 Grapevine Rd
Martinsburg, WV 25405-3434 - Phone
- (630) 730-0302
- NPI assigned
- May 30, 2023
- Last updated
- Jul 11, 2023
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
484 Williamsport Pike
Martinsburg, WV 25404
Phone (304) 433-5894
94 Grapevine Rd
Martinsburg, WV 25405
Phone (304) 267-0046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Medicine Physician
- Martinsburg, WV
- NPI 1124275334
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.