Summersville Family Medicine Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12758 Issued in WV

Legal business name

SUMMERSVILLE FAMILY MEDICINE INC

Practice address

211 Merchants Walk
Shopping Center
Summersville, WV 26651-1901

Phone

(304) 645-4043

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Richard S Trenbath, M.D.

Title

President

Phone

(304) 645-4043

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1437426780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249014049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MERCHANTS WALK",
            "address_2": "SHOPPING CENTER",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511901",
            "telephone_number": "304-645-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERSVILLE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "TRENBATH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-4043",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "12758",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "12758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Griffin Stone, B.S.
• McKenna Brooke Stone
• Conley Stout, MD
• Richelda Martinez Stout
• Geraldine Sue Strader
• Summersville Memorial Hospital
• Summersville Memorial Hospital (SMH ER Physicians)
• Summersville Multi- Clinic
• Summersville Out Patient Center
• Summersville Outpatient Center

• Family Medicine Physician in Summersville, WV
• Providers in Summersville, 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 Oct 10, 2016; 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.