Organization Active NPI

The Kuzbari Clinic, PLLC

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1770607061
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
785989 Issued in WV
Legal business name
THE KUZBARI CLINIC, PLLC
Practice address
1228 Country Club Rd
Fairmont, WV 26554-2369
Phone
(304) 333-5111
Fax
(304) 333-5114
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samer Kuzbari, MD
Title
Member
Phone
(306) 333-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 785989 WV Primary

Addresses

Primary practice location

1228 Country Club Rd
Fairmont, WV 26554-2369

Mailing address

1228 Country Club Rd
Fairmont, WV 26554-2369
Phone (304) 333-5111

National Provider Directory

National Provider Directory

Locations

70 Middletown Rd
White Hall, WV 26554
Phone (304) 333-5111

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770607061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-333-5111",
            "fax_number": "304-333-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-333-5111",
            "fax_number": "304-333-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KUZBARI CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUZBARI",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "306-333-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "785989",
            "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 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.

Verify at the official NPI Registry.