Jefferson Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101241056 Issued in WV

Legal business name

JEFFERSON PRIMARY CARE

Practice address

116 E 3Rd Ave
Ranson, WV 25438-1641

Phone

(304) 724-7200

Fax

(304) 724-7208

NPI assigned

Apr 25, 2007

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Safa Mohamed Osman, MD

Title

Sole Proprietor

Phone

(304) 724-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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.

• Marilyn Judy Bonfili, MD

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1699775247
  NPD (past)
• Chariti Porter Stephens, PA

  • Physician Assistant
  • Ranson, WV
  • NPI 1649594862
  NPD (past)
• Timothy M Creamer, MD

  • Hospitalist Physician
  • Syracuse, NY
  • NPI 1568441137

  Internal Medicine

  NPD (past)
• Sharon Peake, M.D.

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1710977111
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1124247127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254380069",
            "telephone_number": "304-724-7200",
            "fax_number": "304-724-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 3RD AVE",
            "city": "RANSON",
            "state": "WV",
            "postal_code": "254381641",
            "telephone_number": "304-724-7200",
            "fax_number": "304-724-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "SAFA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "304-724-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "0101241056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207571000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Memorial Hospital
• Jefferson Memorial Hospital (Jefferson Medical Center)
• Jefferson Memorial Hospital
• Jefferson Pharmacy Inc
• Jefferson Pharmacy Inc LTC
• JMH Emergency Physicians
• Eugenia Meligakes Johnson, FNP-BC
• Angela Marie Jones
• Doris Harriett Jones
• Robert E Jones III, MD

• Internal Medicine Physician in Ranson, WV
• Providers in Ranson, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.