Fairmont Physicians, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAIRMONT PHYSICIANS, INC

Practice address

51 Southland Dr
Suite 1200
Fairmont, WV 26554-2244

Phone

(304) 363-2018

Fax

(304) 333-2456

NPI assigned

Jun 6, 2011

Last updated

Jun 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Burkley

Title

Director

Phone

(304) 367-7315

Specialties & licenses 2

Addresses

Tax ID family

Fairmont Physicians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fairmont Physicians, Inc.

  • Clinical Medical Laboratory
  • Fairmont, WV
  • NPI 1235310848
  NPD tax ID
• Fairmont Physicians, Inc.

  • Orthopaedic Surgery Physician
  • Fairmont, WV
  • NPI 1811281900
  NPD tax ID

Locations

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1639463722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2990",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265552990",
            "telephone_number": "304-367-0387",
            "fax_number": "304-367-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOUTHLAND DR",
            "address_2": "SUITE 1200",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542244",
            "telephone_number": "304-363-2018",
            "fax_number": "304-333-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "BURKLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-367-7315"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairmont General Hospital, Inc.
• Fairmont General Hospital, Inc.
• Fairmont General Mdgrp
• Fairmont Medical Group Inc
• Fairmont Physicians Inc
• Fairmont Physicians, Inc.
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center (University Health Associates)
• Fairmont Rehabilitation and Healthcare Center LLC
• Fairmont State University

• Family Medicine Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.