Organization Active NPI

Dr Govind M Patel,MD PLLC

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1508370545
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13417 Issued in WV
Legal business name
DR GOVIND M PATEL,MD PLLC
Practice address
1844 Locust Ave
Fairmont, WV 26554-1237
Phone
(304) 366-1538
NPI assigned
Nov 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Authorized official

Name
Mrs. Shobha G Patel
Title
Office Manager
Phone
(304) 366-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13417 WV Primary

Addresses

Primary practice location

1844 Locust Ave
Fairmont, WV 26554-1237

Mailing address

1844 Locust Ave
Fairmont, WV 26554-1237
Phone (304) 366-1538

Other identifiers 1

IdentifierTypeStateIssuer
13417OtherWVWV STATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1844 Locust Ave
Fairmont, WV 26554
Phone (304) 366-1538

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1508370545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541237",
            "telephone_number": "304-366-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541237",
            "telephone_number": "304-366-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GOVIND M PATEL,MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-366-1538",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "13417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE LICENSE NUMBER",
            "identifier": "13417",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.