Organization Active NPI

Eugenio Menez MD

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1710176565
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
001 Issued in WV
Legal business name
EUGENIO MENEZ MD
Practice address
1714 Locust Ave
Fairmont, WV 26554-1321
Phone
(304) 363-3714
Fax
(304) 363-6850
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eugenio Menez, MDNPI 1104867811
Title
Owner
Phone
(304) 363-3714

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 001 WV Primary

Addresses

Primary practice location

1714 Locust Ave
Fairmont, WV 26554-1321

Mailing address

1714 Locust Ave
Fairmont, WV 26554-1321
Phone (304) 363-3714

National Provider Directory

National Provider Directory

Locations

1714 Locust Ave
Fairmont, WV 26554
Phone (304) 363-3714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710176565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541321",
            "telephone_number": "304-363-3714",
            "fax_number": "304-363-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 LOCUST AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541321",
            "telephone_number": "304-363-3714",
            "fax_number": "304-363-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIO MENEZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENEZ",
        "authorized_official_first_name": "EUGENIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-363-3714",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.