Michael Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2583 Issued in WV

Legal business name

MICHAEL FAMILY PRACTICE PLLC

Practice address

2055 Valley Road
Berkeley Springs, WV 25411

Phone

(304) 258-8824

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amanda G Michael, D.O.

Title

Physician

Phone

(304) 258-8824

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1487927141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254113111",
            "telephone_number": "304-258-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 VALLEY ROAD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-258-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-258-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023434",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA LICENSE",
            "identifier": "2583",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3438686",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Thomas McLaughlin, DO
• Bethany Mechem
• Jazmin N Mellott
• Justin Derek Mellott
• Suzanne B Mellott, CCC-SLP
• Amanda Gail Michael, D.O.
• Ashley Elizabeth Miller
• Christopher Miller
• Jessica Miller
• Joyce Jenell Miller

• Family Medicine Physician in Berkeley Springs, WV
• Providers in Berkeley Springs, 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 13, 2014; 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.