Organization Active NPI

Parkersburg Primary Care PLLC

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1376504423
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARKERSBURG PRIMARY CARE PLLC
Practice address
3 Rosemar Cir
Suite D
Parkersburg, WV 26104-1203
Phone
(304) 865-7700
Fax
(304) 865-7703
NPI assigned
Mar 29, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Elizabeth S Powers, M.D.NPI 1174584668
Title
Owner
Phone
(304) 865-7700

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU
Family Nurse Practitioner 363LF0000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

3 Rosemar Cir
Suite D
Parkersburg, WV 26104-1203

Mailing address

3 Rosemar Cir
Suite D
Parkersburg, WV 26104-1203
Phone (304) 865-7700

Other identifiers 2

IdentifierTypeStateIssuer
2063216MedicaidOH
0011101000MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1376504423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROSEMAR CIR",
            "address_2": "SUITE D",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041203",
            "telephone_number": "304-865-7700",
            "fax_number": "304-865-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROSEMAR CIR",
            "address_2": "SUITE D",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041203",
            "telephone_number": "304-865-7700",
            "fax_number": "304-865-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-865-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063216",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011101000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.