Active NPI
N B Tuanquin, M.D., Inc
- Internal Medicine Physician
- Logan, WV
National Provider Identifier
1386788917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12760
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083564000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI 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.