Individual provider Active NPI

Nancy L Joseph, MD

  • Family Medicine Physician
  • Clarksburg, WV
National Provider Identifier
1104809581
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14712 Issued in WV
Practice address
One Medical Center Drive
Clarksburg, WV 26301
Phone
(304) 623-3461
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 14712 WV Primary

Addresses

Primary practice location

One Medical Center Drive
Clarksburg, WV 26301

Mailing address

2042 Laurel Park Rd
Clarksburg, WV 26301-6980
Phone (304) 623-3461

Other practice location 1

924 Liberty Street
West Milford, WV 26451
Phone (304) 745-4568

Other identifiers 3

IdentifierTypeStateIssuer
001718906OtherWVMS BCBS
0051765000MedicaidWV
5609116OtherWVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802003634 WV Order and Referring Only - Family PracticePractitioner - Family Practice 3779679667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14712WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Current Accepting new patients
Community Care of West Virginia, Inc. Past Accepting new patients
Gentle Dialysis Center LLC Past Accepting new patients

Locations

4 Northridge Dr
Ste 118
Buckhannon, WV 26201
Phone (304) 473-1440

16 College Ave
Buckhannon, WV 26201
Phone (304) 472-3310

271 Warrior Way
Dunmore, WV 24934
Phone (304) 799-0515

4498 Potomac Highlands Trl
Green Bank, WV 24944
Phone (304) 456-5115

821 3rd Ave
Marlinton, WV 24954
Phone (304) 799-4404

926 5th Ave
Ste A
Marlinton, WV 24954
Phone (304) 799-4916

78 Queens Alley Rd
Rock Cave, WV 26234

235 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-4400

266 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-0351

149 Staunton Dr
Weston, WV 26452
Phone (304) 269-2022

Organizations & group practices 32

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104809581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 LAUREL PARK RD",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263016980",
            "telephone_number": "304-623-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DRIVE",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-623-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Liberty Street",
            "address_purpose": "LOCATION",
            "city": "West Milford",
            "state": "WV",
            "postal_code": "26451",
            "country_code": "US",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "14712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001718906",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051765000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5609116",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

Verify at the official NPI Registry.