Active NPI
Nancy L Joseph, MD
- Family Medicine Physician
- Clarksburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14712
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001718906 | Other | WV | MS BCBS |
| 0051765000 | Medicaid | WV | |
| 5609116 | Other | WV | AETNA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802003634 | WV | Order and Referring Only - Family Practice | 3779679667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14712 | WV | MD | Family Medicine Physician |
Practice roles
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.
-
- Federally Qualified Health Center (FQHC)
- Dunmore, WV
- NPI 1043567456
-
- Federally Qualified Health Center (FQHC)
- Sutton, WV
- NPI 1053821363
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1063048189
-
- Community/Behavioral Health Agency
- Bridgeport, WV
- NPI 1144811290
-
- Federally Qualified Health Center (FQHC)
- Green Bank, WV
- NPI 1164557237
-
- Federally Qualified Health Center (FQHC)
- Marlinton, WV
- NPI 1164653457
-
- Federally Qualified Health Center (FQHC)
- Rock Cave, WV
- NPI 1194191676
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1194339309
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1235877267
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1255507810
-
- Federally Qualified Health Center (FQHC)
- Marlinton, WV
- NPI 1386083673
-
- Federally Qualified Health Center (FQHC)
- Green Bank, WV
- NPI 1427305911
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.