Organization Active NPI

Ernest Flores, MD, LLC

  • Gynecology Physician
  • Elkins, WV
National Provider Identifier
1205004694
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15939 Issued in WV
Legal business name
ERNEST FLORES, MD, LLC
Practice address
119 Main St
Suite 3
Elkins, WV 26241-4111
Phone
(304) 635-0110
Fax
(304) 635-0104
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Ernest Flores, MD
Title
MD
Phone
(304) 635-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 15939 WV Primary

Addresses

Primary practice location

119 Main St
Suite 3
Elkins, WV 26241-4111

Mailing address

119 Main St
Suite 3
Elkins, WV 26241-4111
Phone (304) 635-0110

Other identifiers 1

IdentifierTypeStateIssuer
0091674-000MedicaidWV

National Provider Directory

National Provider Directory

Locations

119 Main St
Ste 3
Elkins, WV 26241
Phone (304) 635-0110

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1205004694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "address_2": "SUITE 3",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414111",
            "telephone_number": "304-635-0110",
            "fax_number": "304-635-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "address_2": "SUITE 3",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414111",
            "telephone_number": "304-635-0110",
            "fax_number": "304-635-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST FLORES, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "304-635-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WV",
            "license": "15939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091674-000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2011; 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.