Active NPI
The Kuzbari Clinic, PLLC
- Internal Medicine Physician
- Fairmont, WV
National Provider Identifier
1770607061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 785989
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.