Mountaineer Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

WV1976 Issued in WV

Legal business name

MOUNTAINEER FAMILY PRACTICE PLLC

Practice address

916 West Main Street
Bridgeport, WV 26330-0119

Phone

(304) 842-1035

NPI assigned

Jul 7, 2006

Last updated

May 12, 2008By 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

Dr. James Blair Hill, DONPI 1881615375

Title

Owner

Phone

(304) 842-1035

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• James Blair Hill, D.O.

  • Family Medicine Physician
  • Clarksburg, WV
  • NPI 1881615375
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1659303196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "address_2": "916 WEST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300119",
            "telephone_number": "304-842-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WEST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263300119",
            "telephone_number": "304-842-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-842-1035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV1976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001875187",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005030",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Momma & Family Services, LLC
• Mountain River Physical Therapy, LLC
• Mountain State Medical Specialties, PLLC
• Mountain State Medical Specialties,Inc.
• Mountainear Audiology & Hearing Aid Center, LLC
• Mountaineer Medical Office Building Pharmacy (Mountaineer Medical Pharmacy)
• Mountaineer Medical Pharmacy LLC
• Mountaineer Orthodontics, PLLC (Drs. Lacy, Weidman & Hazey III)
• Mountainstate Infectious Disease, PLLC (Mountainstate Infectious Disease)
• Khaldoun Mohamad Mozahem, MD

• Family Medicine Physician in Bridgeport, WV
• Providers in Bridgeport, 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 May 12, 2008; 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.