Organization Active NPI

Family Care Associates, PLLC

  • Adult Medicine Physician
  • Fairmont, WV
National Provider Identifier
1346420148
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
13530 Issued in WV
Legal business name
FAMILY CARE ASSOCIATES, PLLC
Practice address
1031 Morgantown Ave
Fairmont, WV 26554-4355
Phone
(304) 363-7940
Fax
(304) 368-2440
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Dr. Philip Henry Horner, MD
Title
Owner
Phone
(304) 363-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 13530 WV Primary

Addresses

Primary practice location

1031 Morgantown Ave
Fairmont, WV 26554-4355

Mailing address

1031 Morgantown Ave
Fairmont, WV 26554-4355
Phone (304) 363-7940

National Provider Directory

National Provider Directory

Locations

1031 Morgantown Ave
Fairmont, WV 26554
Phone (304) 333-8840

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1346420148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544355",
            "telephone_number": "304-363-7940",
            "fax_number": "304-368-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544355",
            "telephone_number": "304-363-7940",
            "fax_number": "304-368-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-363-7940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WV",
            "license": "13530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.