Mary Lou Fragile DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARY LOU FRAGILE DO

Practice address

RR 2 Box 171C
Greyrock Prof Park
Lewisburg, WV 24901

Phone

(304) 647-3331

Fax

(304) 647-9799

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Lou Fragile, DO

Title

DO Family Practice

Phone

(304) 647-3331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437184462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1788",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-647-3331",
            "fax_number": "304-647-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 171C",
            "address_2": "GREYROCK PROF PARK",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "24901",
            "telephone_number": "304-647-3331",
            "fax_number": "304-647-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOU FRAGILE DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAGILE",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "DO FAMILY PRACTICE",
        "authorized_official_telephone_number": "304-647-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003958000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry W Lusher, LPC
• Marinella Mabalot
• Kathleen J Martin, MD
• Madison Reagan Martin
• Vona Jane Martin
• Sandra Massey, LPC
• Deborah Lynn Mathis, D.O.
• Brent Matthew May, PA
• Jan Mayhew
• Anaya L Maynard

• Family Medicine Physician in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Family Medicine Physician in West Virginia

• 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.