Individual provider Active NPI

Eric R. Anger, M.D.

  • Family Medicine Physician
  • Philippi, WV
National Provider Identifier
1376535096
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20931 Issued in WV
Practice address
1 Healthcare Dr
Philippi, WV 26416-9405
Phone
(304) 457-1760
Fax
(304) 457-1516
NPI assigned
Aug 18, 2005
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BA8133655 WV
Family Medicine Physician 207Q00000X 20931 WV Primary

Addresses

Primary practice location

1 Healthcare Dr
Philippi, WV 26416-9405

Mailing address

1 Healthcare Dr
Philippi, WV 26416-9405
Phone (304) 457-1760

Other identifiers 7

IdentifierTypeStateIssuer
1842171000MedicaidWV
001723077OtherWVMOUNTAIN STATE BCBS
P00679964OtherWVRAILROAD MEDICARE
20931OtherWVWV MEDICAL LICENSE NBR
P00381693OtherWVRAILROAD MEDICARE
WV20931AOtherWVHEALTH PLAN
WV20931BOtherWVHEALTH PLAN UNDER ANGER FAM. PRACTICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000336 WV Practitioner - Family Practice 9436178050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20931WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broaddus Hospital Association, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 17, 2012 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 17, 2012 Accepting new patients
Broaddus Hospital Association, Inc. Past Accepting new patients
Valley Health Care Inc PastSince Oct 23, 2011 Accepting new patients

Locations

11 N Locust St
Buckhannon, WV 26201
Phone (304) 472-1600

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

3 Healthcare Dr
Philippi, WV 26416
Phone (304) 457-1522

6 Healthcare Dr
#2
Philippi, WV 26416
Phone (304) 457-5080

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1376535096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "304-457-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEALTHCARE DR",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264169405",
            "telephone_number": "304-457-1760",
            "fax_number": "304-457-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGER",
        "first_name": "ERIC",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "BA8133655",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842171000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001723077",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00679964",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAL LICENSE NBR",
            "identifier": "20931",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00381693",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV20931A",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN UNDER ANGER FAM. PRACTICE",
            "identifier": "WV20931B",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philippi, WV

Sources for this page

Verify at the official NPI Registry.