Organization Active NPI

Jill Powell DO PLLC

  • Family Medicine Physician
  • Williamstown, WV
National Provider Identifier
1528258902
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2137 Issued in WV
Legal business name
JILL POWELL DO PLLC
Practice address
501 Highland Ave
Williamstown, WV 26187-1615
Phone
(304) 375-7992
Fax
(304) 375-3762
NPI assigned
Jul 31, 2007
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Jill Powell, D.O.NPI 1295876449
Title
Principal Officer
Phone
(304) 375-7992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2137 WV Primary

Addresses

Primary practice location

501 Highland Ave
Williamstown, WV 26187-1615

Mailing address

478 Kittle St
Williamstown, WV 26187-8033
Phone (304) 464-4680

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1528258902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 KITTLE ST",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878033",
            "telephone_number": "304-464-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HIGHLAND AVE",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261871615",
            "telephone_number": "304-375-7992",
            "fax_number": "304-375-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL POWELL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "304-375-7992",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.