Organization Active NPI

Carl Stephen High MD

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1114107133
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13007 Issued in WV
Legal business name
CARL STEPHEN HIGH MD
Practice address
909 Gorman Ave
Elkins, WV 26241-4109
Phone
(304) 636-9242
Fax
(304) 636-8152
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. April M Bodkin
Title
Office Manager
Phone
(304) 636-9242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 13007 WV Primary

Addresses

Primary practice location

909 Gorman Ave
Elkins, WV 26241-4109

Mailing address

PO Box 390
909 Gorman Ave.
Elkins, WV 26241-0390
Phone (304) 636-9242

Other identifiers 2

IdentifierTypeStateIssuer
0056511001MedicaidWV
31894OtherSTATE LICENSE

Other names 1

  • c. s. high md Other name

National Provider Directory

National Provider Directory

Locations

909 Gorman Ave
Elkins, WV 26241
Phone (304) 636-9242

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114107133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "address_2": "909 GORMAN AVE.",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262410390",
            "telephone_number": "304-636-9242",
            "fax_number": "304-636-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GORMAN AVE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414109",
            "telephone_number": "304-636-9242",
            "fax_number": "304-636-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL STEPHEN HIGH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BODKIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-636-9242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056511001",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "31894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "c. s. high md",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.