Active NPI
Diana Huffman, M.D.
- Medical Physician Assistant
- Summersville, WV
National Provider Identifier
1689642944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 652
- Practice address
- 400 Fairview Heights Rd
Sutie 302
Summersville, WV 26651-9308 - Phone
- (304) 872-7063
- Fax
- (304) 872-7080
- NPI assigned
- Mar 10, 2006
- Last updated
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 652 | WV | Primary |
Addresses
Primary practice location
400 Fairview Heights Rd
Sutie 302
Summersville, WV 26651-9308
Mailing address
400 Fairview Heights Rd
Sutie 302
Summersville, WV 26651-9308
Phone (304) 872-7063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036346 | Other | WV | NCCPA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- dianahuffman@summersvillepediatrics.ssdirect.aprima.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1689642944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"address_2": "SUTIE 302",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-7063",
"fax_number": "304-872-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FAIRVIEW HEIGHTS RD",
"address_2": "SUTIE 302",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266519308",
"telephone_number": "304-872-7063",
"fax_number": "304-872-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1036346",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.