Organization Active NPI

Wvu Department of Family Medicine

  • General Acute Care Hospital
  • Morgantown, WV
National Provider Identifier
1619181393
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WVU DEPARTMENT OF FAMILY MEDICINE
Practice address
1 Med.Center Dr.
Morgantown, WV 26506
Phone
(304) 598-6900
NPI assigned
May 10, 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. George Fredrick, M.D.
Title
Residency Program Director
Phone
(304) 598-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1 Med.Center Dr.
Morgantown, WV 26506

Mailing address

643 Valley View Dr
Morgantown, WV 26505-2439
Phone (304) 599-7093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619181393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 VALLEY VIEW DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052439",
            "telephone_number": "304-599-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MED.CENTER DR.",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-598-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVU DEPARTMENT OF FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDRICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "RESIDENCY PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "304-598-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, 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.