Active NPI
Narciso B Tuanquin, MD
- Internal Medicine Physician
- Logan, WV
National Provider Identifier
1740218387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12760
- Practice address
- 112 Bridge Street
Logan, WV 25601 - Phone
- (304) 752-1905
- Fax
- (304) 752-5461
- NPI assigned
- Jun 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12760 | WV | Primary |
Addresses
Primary practice location
112 Bridge Street
Logan, WV 25601
Mailing address
112 Bridge Street
Logan, WV 25601
Phone (304) 752-1905
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12760 | WV | MD | Internal Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Logan, WV
- NPI 1386788917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740218387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BRIDGE STREET",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-752-1905",
"fax_number": "304-752-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BRIDGE STREET",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-752-1905",
"fax_number": "304-752-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUANQUIN",
"first_name": "NARCISO",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "12760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
- Monroe Tomblin
- Travis Wess Tomblin, M.ED.
- Total Renal Care Inc (West Virginia Dialysis)
- Jerri Townsend
- Trinity Health Care Services of Logan Inc (Trinity Health Care of Logan)
- Kayla Marlene Turner
- Stephen D Ulaki, D.O.
- Ulysses D Agas M D Inc
- University Physicians & Surgeons, Inc. (University Surgical Associates)
- Urgent Care, Inc - West Virginia (Urgent Care, Inc - West Virginia Logan)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.