Organization Active NPI

Living Well Medical Center

  • Internal Medicine Physician
  • Charleston, WV
National Provider Identifier
1558409367
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1673 Issued in WV
Legal business name
LIVING WELL MEDICAL CENTER
Practice address
828 Oakwood Rd
Charleston, WV 25314-2010
Phone
(304) 346-4865
Fax
(304) 346-4868
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. William Jarrod Chapman, D.O.
Title
Physician-Owner
Phone
(304) 346-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 1673 WV Primary

Addresses

Primary practice location

828 Oakwood Rd
Charleston, WV 25314-2010

Mailing address

828 Oakwood Rd
Charleston, WV 25314-2010
Phone (304) 346-4865

Other identifiers 1

IdentifierTypeStateIssuer
5630092000MedicaidWV

National Provider Directory

National Provider Directory

Locations

828 Oakwood Rd
Charleston, WV 25314
Phone (304) 346-4865

Practitioners & affiliated clinicians

Practitioners 3

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1558409367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142010",
            "telephone_number": "304-346-4865",
            "fax_number": "304-346-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 OAKWOOD RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142010",
            "telephone_number": "304-346-4865",
            "fax_number": "304-346-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JARROD",
        "authorized_official_title_or_position": "PHYSICIAN-OWNER",
        "authorized_official_telephone_number": "304-346-4865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "1673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630092000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.