Family Medical Clinic of Jane Lew ( Lab)

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICAL CLINIC OF JANE LEW ( LAB)

Practice address

134 Industrial Park Rd
Jane Lew, WV 26378

Phone

(304) 884-7880

NPI assigned

Oct 31, 2006

Last updated

Aug 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lillie Swisher

Title

Office Manager

Phone

(304) 884-7880

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1346326295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "address_2": "SUITE 200",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "26378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "26378",
            "telephone_number": "304-884-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC OF JANE LEW ( LAB)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-884-7880"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6702003000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Dean
• Jaryn Dodrill
• Dr. Brian Hornsby, PLLC
• Brady Andrew Ernst, PT, DPT
• Family Medical Clinic of Jane Lew
• Family Medical Clinic of Jane Lew (Epsdt)
• Family Medical Clinic of Jane Lew (Lab)
• Lora J Fitzgerald, LMT
• Danyell Lee Fox
• Kayli Gallen, MOT,OTR/L

• Family Medicine Physician in Jane Lew, WV
• Providers in Jane Lew, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.