Organization Active NPI

David a Ciarolla, MD, Inc

  • Gastroenterology Physician
  • Fairmont, WV
National Provider Identifier
1699820415
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
WV17859 Issued in WV
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. David Anthony Ciarolla, MDNPI 1265545164
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0088242001MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.