Organization Active NPI

John C Sharp PHD.,D.O.

  • Family Medicine Physician
  • Green Bank, WV
National Provider Identifier
1275610230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
806 Issued in WV
Legal business name
JOHN C SHARP PHD.,D.O.
Practice address
Route 92
Green Bank, WV 24944
Phone
(304) 456-4211
Fax
(304) 456-5213
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Sharp, D.O.NPI 1134120173
Title
Owner
Phone
(304) 799-4645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 806 WV Primary

Addresses

Primary practice location

Route 92
Green Bank, WV 24944

Mailing address

P O Box 320
Marlinton, WV 24954
Phone (304) 456-4211

Other identifiers 1

IdentifierTypeStateIssuer
3810005779MedicaidWV

Other names 1

  • POCAHONTAS MEDICAL CLINICS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John C Sharp Phddo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275610230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 320",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "24954",
            "telephone_number": "304-456-4211",
            "fax_number": "304-456-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 92",
            "city": "GREEN BANK",
            "state": "WV",
            "postal_code": "24944",
            "telephone_number": "304-456-4211",
            "fax_number": "304-456-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C SHARP PHD.,D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-799-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005779",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POCAHONTAS MEDICAL CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bank, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.