Exemplar, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EXEMPLAR, INC

Practice address

153 W Main St
Bridgeport, WV 26330-1714

Phone

(304) 848-2400

Fax

(304) 848-2401

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Amy Bogart

Title

Admin. Assist/Credentialing Special

Phone

(800) 294-7001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joedy L Daristotle, M.D.

  • Otolaryngic Allergy Physician
  • Fairmont, WV
  • NPI 1780712752
  Medicare reassignment NPD
• Kelly Jo Hazuka, NP-C

  • Family Nurse Practitioner
  • Fairmont, WV
  • NPI 1205188240
  Medicare reassignment NPD
• Jeremy Michael Drelich, M.D.

  • Allergy & Immunology Physician
  • Cumberland, MD
  • NPI 1679560544

  WV

  Medicare reassignment NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1396845236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AVERY OLIVIA WAY",
            "address_2": "SUITE C",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549375",
            "telephone_number": "304-363-7000",
            "fax_number": "304-363-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W MAIN ST",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301714",
            "telephone_number": "304-848-2400",
            "fax_number": "304-848-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "BOGART",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMIN. ASSIST/CREDENTIALING SPECIAL",
        "authorized_official_telephone_number": "800-294-7001"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Englert, SLP
• Enliven Chiropractic PLLC
• John Blake Epling, M.D.
• Beth Ann Esposito, O.D.
• Miriam Tagayuna Estrada, MD
• Exxemplar Partners LLC
• Eyecare Specialties of West Virginia PLLC
• Kimberly J Fairley, DO
• Family First Myology
• Family Vision Services

• Specialist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.