Active NPI
South Charleston Family Medicine
- Family Medicine Physician
- South Charleston, WV
National Provider Identifier
1427480953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTH CHARLESTON FAMILY MEDICINE
- Practice address
- 401 Division St
Ste 205
South Charleston, WV 25309-1455 - Phone
- (304) 768-3941
- Fax
- (304) 766-4391
- NPI assigned
- Aug 7, 2013
- Last updated
- Aug 7, 2013
- 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. Angela D Whitman, D.O.
- Title
- Owner/Physician
- Phone
- (304) 768-3941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
401 Division St
Ste 205
South Charleston, WV 25309-1455
Mailing address
401 Division St
Ste 205
South Charleston, WV 25309-1455
Phone (304) 768-3941
National Provider Directory
National Provider DirectoryLocations
401 Division St
Ste 205
South Charleston, WV 25309
Phone (304) 342-0821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375833600000",
"number": "1427480953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 DIVISION ST",
"address_2": "STE 205",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091455",
"telephone_number": "304-768-3941",
"fax_number": "304-766-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 DIVISION ST",
"address_2": "STE 205",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091455",
"telephone_number": "304-768-3941",
"fax_number": "304-766-4391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CHARLESTON FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A",
"authorized_official_last_name": "WHITMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "304-768-3941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
- David Leon Soulsby, M.D.
- Sound Physicians Emergency Medicine of West Virginia PLLC
- South Charleston Cardiodiagnostics
- South Charleston Cardiology Associates
- South Charleston Dermatology PLLC
- South Charleston Primary Care
- South Charleston Primary Care Associates
- Brittney Jo Southern
- Rachel Southern
- Vinayak K Sovani, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.