Organization Active NPI

Hummer Family Practice, Inc.

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1609914308
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16641 Issued in WV
Legal business name
HUMMER FAMILY PRACTICE, INC.
Practice address
19 Main Street
Elkins, WV 26241-3125
Phone
(304) 637-2410
Fax
(304) 637-2419
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Terry S Hummer, M.D.
Title
President
Phone
(304) 637-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16641 WV Primary

Addresses

Primary practice location

19 Main Street
Elkins, WV 26241-3125

Mailing address

19 Main Street
Elkins, WV 26241-3125
Phone (304) 637-2410

Other identifiers 1

IdentifierTypeStateIssuer
3810006386MedicaidWV

National Provider Directory

National Provider Directory

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": "1431043200000",
    "number": "1609914308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MAIN STREET",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413125",
            "telephone_number": "304-637-2410",
            "fax_number": "304-637-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MAIN STREET",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413125",
            "telephone_number": "304-637-2410",
            "fax_number": "304-637-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMER FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "HUMMER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-637-2410",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "16641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006386",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.