Organization Active NPI

Family Medicine of Parkersburg Inc

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1639305857
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE OF PARKERSBURG INC
Practice address
2601 Dudley Ave Ste 5a
Parkersburg, WV 26101-2649
Phone
(304) 485-4870
Fax
(304) 485-4871
NPI assigned
Jun 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Joy C Chesnut, MD
Title
Owner
Phone
(304) 485-4870

Specialties & licenses 1

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

Addresses

Primary practice location

2601 Dudley Ave Ste 5a
Parkersburg, WV 26101-2649

Mailing address

2601 Dudley Ave Ste 5a
Parkersburg, WV 26101-2649
Phone (304) 485-4870

Other identifiers 2

IdentifierTypeStateIssuer
2980163MedicaidOH
3810015097MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1639305857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 DUDLEY AVE STE 5A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012649",
            "telephone_number": "304-485-4870",
            "fax_number": "304-485-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DUDLEY AVE STE 5A",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012649",
            "telephone_number": "304-485-4870",
            "fax_number": "304-485-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF PARKERSBURG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-485-4870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2980163",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015097",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.