Jan E Palmer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11647 Issued in WV

Practice address

6000 Memorial Church Drive
Morgantown, WV 26501

Phone

(304) 292-7316

Fax

(304) 599-8917

NPI assigned

Oct 23, 2006

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1225111040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEMORIAL CHURCH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26501",
            "telephone_number": "304-292-7316",
            "fax_number": "304-599-8917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Fort Pierpont Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081314",
            "country_code": "US",
            "telephone_number": "304-241-7150",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1201",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051143",
            "country_code": "US",
            "telephone_number": "304-599-9400",
            "fax_number": "304-599-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056375000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal Paiva, MOTR/L
• Joel Palko, M.D.
• Melissa Ann Palko, CRNA
• Erika Anne Pallie, M.D.
• Hugh Carlton Palmer, M. D.
• Rachel Palmer
• Ronda Palmer
• Emma Palova, M.D.
• Samantha Pan, MHS, PA, ASCP
• Alex Richard Pancake, DDS

• Family Medicine Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.