Active NPI
Hope Medical Center, Inc.
- Pediatrics Physician
- Cowen, WV
National Provider Identifier
1609975382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- WV20074
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | WV1449 | WV | |
| Pediatrics Physician | 208000000X | WV20074 | WV | Primary |
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003446 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI 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.