NPIMap

Organization Active NPI

Salem Family Medicine Inc

  • Family Medicine Physician
  • Salem, WV
National Provider Identifier
1215975438
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15251 Issued in WV
Legal business name
SALEM FAMILY MEDICINE INC
Practice address
RR 1 Box 75-1
Old Route 50 West
Salem, WV 26426-9604
Phone
(304) 782-2000
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Lydia Jean Solomon
Title
Office Manager
Phone
(304) 782-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 15251 WV Primary
Clinical Medical Laboratory 291U00000X 51D0725830 WV

Addresses

Primary practice location

RR 1 Box 75-1
Old Route 50 West
Salem, WV 26426-9604

Mailing address

PO Box 392
Salem, WV 26426-0392
Phone (304) 782-2000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1215975438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264260392",
            "telephone_number": "304-782-2000",
            "fax_number": "304-782-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 75-1",
            "address_2": "OLD ROUTE 50 WEST",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269604",
            "telephone_number": "304-782-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-782-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "15251",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": "51D0725830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.