Mountain View Family Practice

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

21259 Issued in WV

Legal business name

MOUNTAIN VIEW FAMILY PRACTICE

Practice address

3790 Hedgesville Rd Ste H
Hedgesville, WV 25427-6704

Phone

(304) 754-7160

Fax

(304) 754-7244

NPI assigned

Jun 6, 2007

Last updated

Feb 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert W Phares, M.D.

Title

Owner

Phone

(304) 754-7160

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1487857728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE RD STE H",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7160",
            "fax_number": "304-754-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 HEDGESVILLE RD STE H",
            "city": "HEDGESVILLE",
            "state": "WV",
            "postal_code": "254276704",
            "telephone_number": "304-754-7160",
            "fax_number": "304-754-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-754-7160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "21259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005711000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Meyer
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• Christy Joy Mullin, FNP-C
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• Professional Sportscare & Rehab of West Virginia, LLC (Pivot Physical Therapy)

• Primary Care Clinic/Center in Hedgesville, WV
• Providers in Hedgesville, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.