Active NPI
James Edward Levos, M.D.
- Family Medicine Physician
- Pennsboro, WV
National Provider Identifier
1275639080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12064
- Practice address
- 21 Medical Center Dr
Pennsboro, WV 26415-1276 - Phone
- (304) 659-2986
- Fax
- (304) 659-2988
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12064 | WV | Primary |
Addresses
Primary practice location
21 Medical Center Dr
Pennsboro, WV 26415-1276
Mailing address
686 S Pike St
Ste a
Shinnston, WV 26431-1043
Phone (304) 624-4655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1806310000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physicians Care Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Harrisville Medical Center
- Family Medicine Physician
- Harrisville, WV
- NPI 1386712347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1275639080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 S PIKE ST",
"address_2": "STE A",
"city": "SHINNSTON",
"state": "WV",
"postal_code": "264311043",
"telephone_number": "304-624-4655",
"fax_number": "304-624-3918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MEDICAL CENTER DR",
"city": "PENNSBORO",
"state": "WV",
"postal_code": "264151276",
"telephone_number": "304-659-2986",
"fax_number": "304-659-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVOS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2011-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "12064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1806310000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pennsboro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.