Individual provider Active NPI

Finbar Gerard Powderly, M. D.

  • Family Medicine Physician
  • Mineral Wells, WV
National Provider Identifier
1669406286
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12798 Issued in WV
Practice address
1578 Elizabeth Pike
Mineral Wells, WV 26150-8413
Phone
(304) 489-1222
Fax
(304) 489-1285
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12798 WV Primary

Addresses

Primary practice location

1578 Elizabeth Pike
Mineral Wells, WV 26150-8413

Mailing address

PO Box 489
Mineral Wells, WV 26150-0489
Phone (304) 489-1222

Other identifiers 1

IdentifierTypeStateIssuer
0056452001MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000641 WV Practitioner - Family Practice 4688708076 Practice locations: Mineral Wells, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1578 Elizabeth Pike
Box 489
Mineral Wells, WV 26150-0489

PO Box
Mineral Wells, WV 26150-0489

Hospital & facility affiliations

  • Housecalls Home Health Home health agency, Parkersburg, WV, CCN 517114
  • Adoration Home Health Home health agency, Vienna, WV, CCN 517074
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Minnie Hamilton Health System Hospital, Grantsville, WV, CCN 511303
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Finbar G Powderly PastSince Oct 1, 1985 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fgpowderly@fgpmd.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1669406286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "MINERAL WELLS",
            "state": "WV",
            "postal_code": "261500489",
            "telephone_number": "304-489-1222",
            "fax_number": "304-489-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 ELIZABETH PIKE",
            "city": "MINERAL WELLS",
            "state": "WV",
            "postal_code": "261508413",
            "telephone_number": "304-489-1222",
            "fax_number": "304-489-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWDERLY",
        "first_name": "FINBAR",
        "middle_name": "GERARD",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "12798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056452001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, WV

Sources for this page

Verify at the official NPI Registry.