Active NPI
Finbar Gerard Powderly, M. D.
- Family Medicine Physician
- Mineral Wells, WV
National Provider Identifier
1669406286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056452001 | Medicaid | WV |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Adoration Home Health
- Camden Clark Medical Center
- Marietta Memorial Hospital
- Minnie Hamilton Health System
- Jackson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Finbar G Powderly | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Mineral Wells, WV
- NPI 1134590532
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vienna, WV
- NPI 1780876441
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
Hospital
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital
-
- Home Health Agency
- Parkersburg, WV
- NPI 1992864912
-
- Critical Access Hospital
- Grantsville, WV
- NPI 1124029400
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Grantsville, WV
- NPI 1356459002
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.