Active NPI
John Robert King Jr., MD
- Emergency Medicine Physician
- New Martinsville, WV
National Provider Identifier
1407857667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 11760
- Practice address
- 3 E Benjamin Dr
New Martinsville, WV 26155-2705 - Phone
- (304) 455-8000
- NPI assigned
- Aug 9, 2005
- Last updated
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11760 | WV | Primary |
Addresses
Primary practice location
3 E Benjamin Dr
New Martinsville, WV 26155-2705
Mailing address
67497 Pogue Rd
Saint Clairsville, OH 43950-8441
Phone (740) 699-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11760 | WV | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1407857667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67497 POGUE RD",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439508441",
"telephone_number": "740-699-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 E BENJAMIN DR",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552705",
"telephone_number": "304-455-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "11760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.