Organization Active NPI

Physician's First Care

  • Internal Medicine Physician
  • Nutter Fort, WV
National Provider Identifier
1235421983
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21580W Issued in WV
Legal business name
PHYSICIAN'S FIRST CARE
Practice address
200 Route 98 W St
Suite 103
Nutter Fort, WV 26301-4385
Phone
(304) 326-0092
Fax
(304) 623-1073
NPI assigned
May 12, 2011
Last updated
May 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Michelle White
Title
Office Manager
Phone
(304) 326-0092

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21580W WV Primary
Pediatrics Physician 208000000X 21580W WV

Addresses

Primary practice location

200 Route 98 W St
Suite 103
Nutter Fort, WV 26301-4385

Mailing address

200 Route 98 W St
Suite 103
Nutter Fort, WV 26301-4385
Phone (304) 326-0092

National Provider Directory

National Provider Directory

Locations

200 Route 98 W St
Ste 103
Nutter Fort, WV 26301
Phone (304) 326-0092

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1235421983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "SUITE 103",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-326-0092",
            "fax_number": "304-623-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 98 W ST",
            "address_2": "SUITE 103",
            "city": "NUTTER FORT",
            "state": "WV",
            "postal_code": "263014385",
            "telephone_number": "304-326-0092",
            "fax_number": "304-623-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S FIRST CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-326-0092"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21580W",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21580W",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutter Fort, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.