Active NPI
David a Ciarolla, MD, Inc
- Gastroenterology Physician
- Fairmont, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- WV17859
- Legal business name
- DAVID A CIAROLLA, MD, INC
- Practice address
- 1228 Country Club Rd
Suite 300
Fairmont, WV 26554-2369 - Phone
- (304) 363-7990
- Fax
- (304) 363-7997
- NPI assigned
- Jan 24, 2007
- Last updated
- Nov 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Anthony Ciarolla, MD
- Title
- President
- Phone
- (304) 363-7990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | WV17859 | WV | Primary |
Addresses
Primary practice location
1228 Country Club Rd
Suite 300
Fairmont, WV 26554-2369
Mailing address
1228 Country Club Rd
Suite 300
Fairmont, WV 26554-2369
Phone (304) 363-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088242001 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
1228 Country Club Rd
Ste 300
Fairmont, WV 26554
Phone (304) 363-7990
Practitioners & affiliated clinicians
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.
-
- Gastroenterology Physician
- Bridgeport, WV
- NPI 1265545164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1699820415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 COUNTRY CLUB RD",
"address_2": "SUITE 300",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542369",
"telephone_number": "304-363-7990",
"fax_number": "304-363-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 COUNTRY CLUB RD",
"address_2": "SUITE 300",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542369",
"telephone_number": "304-363-7990",
"fax_number": "304-363-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A CIAROLLA, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "CIAROLLA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-363-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WV",
"license": "WV17859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088242001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.