Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY MEDICINE LLC

Practice address

2108 Lumber Ave
Suite 6
Wheeling, WV 26003-5350

Phone

(304) 233-2455

Fax

(304) 233-6073

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mathew J Wood, DONPI 1467655712

Title

Sole Member

Phone

(304) 233-2455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathew J Wood, DO

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1467655712
  Medicare reassignment NPD Authorized official
• Whitney O'Brien, MSN, FNP-BC

  • Nurse Practitioner
  • Wheeling, WV
  • NPI 1962953190
  Medicare reassignment NPD
• Cheri Ann Taggart, C-FNP

  • Nurse Practitioner
  • Wheeling, WV
  • NPI 1063583888
  Medicare reassignment NPD
• Ashley Smith, NP

  • Family Nurse Practitioner
  • Martins Ferry, OH
  • NPI 1114518065

  WV

  Medicare reassignment NPD
• Cassidy May Young

  • Adult Medicine Physician
  • Wheeling, WV
  • NPI 1073449450
  NPD (past)

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1508009606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6811",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030920",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 LUMBER AVE",
            "address_2": "SUITE 6",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035350",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "304-233-2455",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Debra Evans
• Northern Allen Evans
• Jamie Evick, D.O.
• Sharon Hill Faini, PHYSICAL THERAPIST
• Linda C Faldoski, LPN
• Family Service - Upper Ohio Valley
• Family Service-Uov
• Family Service-Upper Ohio Valley
• Family Service-Upper Ohio Valley
• Family Service-Upper Ohio Valley

• Family Medicine Physician in Wheeling, WV
• Providers in Wheeling, 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 Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.