Fairmont Physicians, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FAIRMONT PHYSICIANS, INC.

Practice address

211 Marion SQ
Fairmont, WV 26554-1367

Phone

(304) 367-0043

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Julianne Shroyer

Title

Billing MGR

Phone

(304) 367-0043

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fairmont Physicians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fairmont Physicians, Inc

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1639463722
  NPD tax ID
• Fairmont Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Fairmont, WV
  • NPI 1811281900
  NPD tax ID

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1235310848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2990",
            "address_2": "211 MARION SQUARE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265552990",
            "telephone_number": "304-367-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARION SQ",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541367",
            "telephone_number": "304-367-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "304-367-0043"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009022007",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairmont General Hospital, Inc.
• Fairmont General Mdgrp
• Fairmont Medical Group Inc
• Fairmont Physicians Inc
• Fairmont Physicians, Inc
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center (University Health Associates)
• Fairmont Rehabilitation and Healthcare Center LLC
• Fairmont State University
• Derek Alan Falkenstein, PT

• Clinical Medical Laboratory in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.