Organization Active NPI

N B Tuanquin, M.D., Inc

  • Internal Medicine Physician
  • Logan, WV
National Provider Identifier
1386788917
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12760 Issued in WV
Legal business name
N B TUANQUIN, M.D., INC
Practice address
112 Bridge St
Logan, WV 25601-3602
Phone
(304) 752-1905
Fax
(304) 752-5461
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Narciso B Tuanquin, MD
Title
Physcian
Phone
(304) 752-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 12760 WV Primary

Addresses

Primary practice location

112 Bridge St
Logan, WV 25601-3602

Mailing address

112 Bridge St
Logan, WV 25601-3602
Phone (304) 752-1905

Other identifiers 1

IdentifierTypeStateIssuer
0083564000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386788917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BRIDGE ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013602",
            "telephone_number": "304-752-1905",
            "fax_number": "304-752-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BRIDGE ST",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013602",
            "telephone_number": "304-752-1905",
            "fax_number": "304-752-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N B TUANQUIN, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUANQUIN",
        "authorized_official_first_name": "NARCISO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "304-752-1905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "12760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0083564000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.