Active NPI
Core Health Care
- Internal Medicine Physician
- Maidsville, WV
National Provider Identifier
1629214200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12054
- Legal business name
- CORE HEALTH CARE
- Practice address
- 1929 Mason Dixon Hwy
Maidsville, WV 26541-8152 - Phone
- (304) 879-5025
- Fax
- (304) 879-4105
- NPI assigned
- Jan 2, 2009
- Last updated
- Jan 2, 2009
- 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
- Mrs. Trudy G Harvey
- Title
- Practice Manager
- Phone
- (304) 879-5025
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 43007 | WV | |
| Internal Medicine Physician | 207R00000X | 12054 | WV | Primary |
Addresses
Primary practice location
1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Mailing address
1929 Mason Dixon Hwy
Maidsville, WV 26541-8152
Phone (304) 879-5025
Other names 1
- Core Health Care, PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Morgantown, WV
- NPI 1790765774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230854400000",
"number": "1629214200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 MASON DIXON HWY",
"city": "MAIDSVILLE",
"state": "WV",
"postal_code": "265418152",
"telephone_number": "304-879-5025",
"fax_number": "304-879-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 MASON DIXON HWY",
"city": "MAIDSVILLE",
"state": "WV",
"postal_code": "265418152",
"telephone_number": "304-879-5025",
"fax_number": "304-879-4105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-02",
"last_updated": "2009-01-02",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "TRUDY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "304-879-5025",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "43007",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "12054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Core Health Care, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Maidsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.