Organization Active NPI

Parkersburg Family Med Assoc PLLC

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1154387223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARKERSBURG FAMILY MED ASSOC PLLC
Practice address
600 18TH St
Suite 611
Parkersburg, WV 26101-3231
Phone
(304) 424-4870
Fax
(304) 424-4090
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James N Spychalski, M.D.
Title
Partner
Phone
(304) 424-4870

Specialties & licenses 1

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

Addresses

Primary practice location

600 18TH St
Suite 611
Parkersburg, WV 26101-3231

Mailing address

600 18TH St
Suite 611
Parkersburg, WV 26101-3231
Phone (304) 424-4870

Other identifiers 1

IdentifierTypeStateIssuer
2368692MedicaidOH

National Provider Directory

National Provider Directory

Locations

2900 Emerson Ave
Parkersburg, WV 26104
Phone (304) 422-0172

600 18th St
Ste 611
Parkersburg, WV 26101
Phone (304) 424-4495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154387223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 611",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4870",
            "fax_number": "304-424-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 18TH ST",
            "address_2": "SUITE 611",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013231",
            "telephone_number": "304-424-4870",
            "fax_number": "304-424-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG FAMILY MED ASSOC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPYCHALSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-424-4870",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.