Wedgewood Family Practice & Psychiatry Associates, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WEDGEWOOD FAMILY PRACTICE & PSYCHIATRY ASSOCIATES, INC

Practice address

1197 Van Voorhis Rd
Morgantown, WV 26505-3478

Phone

(304) 598-2233

Fax

(304) 296-1792

NPI assigned

Oct 31, 2014

Organization subpart

No

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

Authorized official

Name

Frank Ortiz

Title

Coo

Phone

(304) 598-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Wedgewood Family Practice and Psychiatry Assoc Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wedgewood Family Practice and Psychiatry Assoc., Inc

  • Community/Behavioral Health Agency
  • Morgantown, WV
  • NPI 1730476938
  NPD tax ID

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1750786844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FAIRMONT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265013847",
            "telephone_number": "304-598-2233",
            "fax_number": "304-296-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 VAN VOORHIS RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053478",
            "telephone_number": "304-598-2233",
            "fax_number": "304-296-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD FAMILY PRACTICE & PSYCHIATRY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "304-598-2233"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006259001",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kathleen Webb
• Allison Weber
• David C Webster, PAC
• Erica Conny Webster
• Wedgewood Family Practice & Psychiatry Associates, Inc
• Wedgewood Family Practice and Psychiatry Assoc., Inc
• Holly Weghorst, PA-C
• Lindsay McDevit Weglinski
• Lea Aska Wehrli, MD
• Lawrence Ming Wei, MD

• Clinical Medical Laboratory in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.