Organization Active NPI

James J. Demarco M.D.

Doing business as Clarksburg Nephrology & Hypertension

  • Nephrology Physician
  • Clarksburg, WV
National Provider Identifier
1386769206
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17202 Issued in WV
Legal business name
JAMES J. DEMARCO M.D.
Doing business as
Clarksburg Nephrology & Hypertension
Practice address
4 Hospital PLZ
Suite 205
Clarksburg, WV 26301-9327
Phone
(304) 622-5196
Fax
(304) 622-2810
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. James Joseph Demarco, M.D.NPI 1619946936
Title
Owner
Phone
(304) 622-5196

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 17202 WV Primary

Addresses

Primary practice location

4 Hospital PLZ
Suite 205
Clarksburg, WV 26301-9327

Mailing address

4 Hospital PLZ
Suite 205
Clarksburg, WV 26301-9327
Phone (304) 622-5196

Other identifiers 2

IdentifierTypeStateIssuer
F48491OtherWVUPIN
0075650000MedicaidWV

Other names 1

  • Clarksburg Nephrology & Hypertension Doing business as

National Provider Directory

National Provider Directory

Locations

109 Platinum Dr
Bridgeport, WV 26330

109 Platinum Dr
Ste I
Bridgeport, WV 26330

4 Northridge Dr
Ste C
Buckhannon, WV 26201
Phone (304) 472-9167

250 Skidmore Ln
Sutton, WV 26601
Phone (304) 765-2892

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1386769206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL PLZ",
            "address_2": "SUITE 205",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019327",
            "telephone_number": "304-622-5196",
            "fax_number": "304-622-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL PLZ",
            "address_2": "SUITE 205",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019327",
            "telephone_number": "304-622-5196",
            "fax_number": "304-622-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J. DEMARCO M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-622-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "17202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F48491",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075650000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksburg Nephrology & Hypertension",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.