NPIMap

Organization Active NPI

Good Shepherd First

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1609901834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20094WV Issued in WV
Legal business name
GOOD SHEPHERD FIRST
Practice address
1230 Garfield Ave
Parkersburg, WV 26102
Phone
(304) 422-3999
Fax
(304) 422-1454
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel David Shiffler, MDNPI 1427158484
Title
Physician Medical Director
Phone
(304) 422-3999

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20094WV WV Primary

Addresses

Primary practice location

1230 Garfield Ave
Parkersburg, WV 26102

Mailing address

PO Box 4370
1230 Garfield
Parkersburg, WV 26102
Phone (304) 422-3999

Other identifiers 1

IdentifierTypeStateIssuer
5630264001MedicaidWV

Other names 1

  • Family Health Care Inc Former legal business name

National Provider Directory

National Provider Directory

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": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609901834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4370",
            "address_2": "1230 GARFIELD",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26102",
            "telephone_number": "304-422-3999",
            "fax_number": "304-422-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "26102",
            "telephone_number": "304-422-3999",
            "fax_number": "304-422-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD FIRST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIFFLER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-422-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20094WV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5630264001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.