Active NPI
Finbar G Powderly
- Primary Care Clinic/Center
- Mineral Wells, WV
National Provider Identifier
1134590532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FINBAR G POWDERLY
- Practice address
- 1578 Elizabeth Pike
Mineral Wells, WV 26150-0489 - Phone
- (304) 489-1222
- Fax
- (304) 489-1285
- NPI assigned
- Oct 12, 2015
- 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
- Finbar G Powderly, MD
- Title
- Owner
- Phone
- (304) 489-1222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1578 Elizabeth Pike
Mineral Wells, WV 26150-0489
Mailing address
PO Box 489
Mineral Wells, WV 26150-0489
Phone (304) 489-1222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mineral Wells, WV
- NPI 1669406286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444608000000",
"number": "1134590532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "MINERAL WELLS",
"state": "WV",
"postal_code": "261500489",
"telephone_number": "304-489-1222",
"fax_number": "304-489-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 ELIZABETH PIKE",
"city": "MINERAL WELLS",
"state": "WV",
"postal_code": "261500489",
"telephone_number": "304-489-1222",
"fax_number": "304-489-1285"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FINBAR G POWDERLY",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A",
"authorized_official_last_name": "POWDERLY",
"authorized_official_first_name": "FINBAR",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-489-1222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineral Wells, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.