Precilla T Famularcano, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11729 Issued in WV

Practice address

141 Main Street
Spencer, WV 25276

Phone

(304) 927-5262

Fax

(304) 927-0379

NPI assigned

Mar 24, 2006

Last updated

Sep 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psych Services Associates, Inc

  • Psychologist
  • Spencer, WV
  • NPI 1366487902
  NPD (past)
• Psych Services of Roane County

  • Psychologist
  • Spencer, WV
  • NPI 1417089897
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1508826462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN STREET",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-5262",
            "fax_number": "304-927-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN STREET",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "25276",
            "telephone_number": "304-927-5262",
            "fax_number": "304-927-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMULARCANO",
        "first_name": "PRECILLA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049951000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Osmond Dial
• Betty Douglas
• Latasha Doyen
• Scott P Duffy, MD
• Bruce Alan Dye, CHIORPRACTOR D.C.
• Leonard Fink
• Chiristina Flesher
• Fruth Pharmacy Inc (Fruth Pharmacy 18)
• Kelly Jean Fry, L.M.T.
• Martha Frye

• Family Medicine Physician in Spencer, WV
• Providers in Spencer, 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 Sep 2, 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.