Organization Active NPI

Doctor Fridays PLLC

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1326194465
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17066 Issued in WV
Legal business name
DOCTOR FRIDAYS PLLC
Practice address
2627 5TH Ave
Huntington, WV 25702-1328
Phone
(304) 522-0252
Fax
(304) 525-4055
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Dr. Friday G. Simpson, MD
Title
Owner
Phone
(304) 522-0252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 17066 WV Primary

Addresses

Primary practice location

2627 5TH Ave
Huntington, WV 25702-1328

Mailing address

2627 5TH Ave
Huntington, WV 25702-1328
Phone (304) 522-0252

Other identifiers 2

IdentifierTypeStateIssuer
0053702000MedicaidWV
0972836MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1326194465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021328",
            "telephone_number": "304-522-0252",
            "fax_number": "304-525-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021328",
            "telephone_number": "304-522-0252",
            "fax_number": "304-525-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FRIDAYS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "FRIDAY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-522-0252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053702000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.