Organization Active NPI

Hope Medical Center, Inc.

  • Pediatrics Physician
  • Cowen, WV
National Provider Identifier
1609975382
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
WV20074 Issued in WV
Legal business name
HOPE MEDICAL CENTER, INC.
Practice address
74 Technology LN
Cowen, WV 26206-3702
Phone
(304) 226-5527
Fax
(304) 226-5531
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Mark Jason Hardway
Title
Owner/Ceo
Phone
(304) 742-5737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X WV1449 WV
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X WV20074 WV Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X WV32906 WV

Addresses

Primary practice location

74 Technology LN
Cowen, WV 26206-3702

Mailing address

74 Technology LN
Cowen, WV 26206-3702
Phone (304) 226-5527

Other identifiers 1

IdentifierTypeStateIssuer
3810003446MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1609975382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 TECHNOLOGY LN",
            "city": "COWEN",
            "state": "WV",
            "postal_code": "262063702",
            "telephone_number": "304-226-5527",
            "fax_number": "304-226-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 TECHNOLOGY LN",
            "city": "COWEN",
            "state": "WV",
            "postal_code": "262063702",
            "telephone_number": "304-226-5527",
            "fax_number": "304-226-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "HARDWAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "304-742-5737"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV1449",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "WV20074",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "WV32906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003446",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cowen, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.