Active NPI
James J. Demarco M.D.
Doing business as Clarksburg Nephrology & Hypertension
- Nephrology Physician
- Clarksburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 17202
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F48491 | Other | WV | UPIN |
| 0075650000 | Medicaid | WV |
Other names 1
- Clarksburg Nephrology & Hypertension
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Bridgeport, WV
- NPI 1619946936
-
- Family Nurse Practitioner
- Parkersburg, WV
- NPI 1427169408
-
- Nephrology Physician
- Cincinnati, OH
- NPI 1609106962
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.