Active NPI
Four Seasons Family Practice
- Family Medicine Physician
- Princeton, WV
National Provider Identifier
1750497145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16854
- Legal business name
- FOUR SEASONS FAMILY PRACTICE
- Practice address
- 904 Harrison St
Princeton, WV 24740-3011 - Phone
- (304) 431-7100
- Fax
- (304) 431-7112
- NPI assigned
- Aug 21, 2006
- 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
- Nancy A Lohuis, MD
- Title
- Physician/Owner
- Phone
- (304) 431-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16854 | WV | Primary |
Addresses
Primary practice location
904 Harrison St
Princeton, WV 24740-3011
Mailing address
PO Box 1050
Princeton, WV 24740-1050
Phone (304) 431-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0053383000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750497145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1050",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247401050",
"telephone_number": "304-431-7100",
"fax_number": "304-431-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 HARRISON ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247403011",
"telephone_number": "304-431-7100",
"fax_number": "304-431-7112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUR SEASONS FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LOHUIS",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "304-431-7100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WV",
"license": "16854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0053383000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.