Organization Active NPI

Clinicians in Telemedicine LLC

  • Internal Medicine Physician
  • Washington, WV
National Provider Identifier
1780158873
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLINICIANS IN TELEMEDICINE LLC
Practice address
1678 Beeman Rd
Washington, WV 26181-5360
Phone
(304) 699-5426
NPI assigned
Jan 11, 2019
Last updated
Mar 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Authorized official

Name
John Frey
Title
Owner
Phone
(304) 699-5426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1678 Beeman Rd
Washington, WV 26181-5360

Mailing address

1678 Beeman Rd
Washington, WV 26181-5360
Phone (304) 699-5426

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1780158873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 BEEMAN RD",
            "city": "WASHINGTON",
            "state": "WV",
            "postal_code": "261815360",
            "telephone_number": "304-699-5426",
            "fax_number": "304-551-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 BEEMAN RD",
            "city": "WASHINGTON",
            "state": "WV",
            "postal_code": "261815360",
            "telephone_number": "304-699-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICIANS IN TELEMEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-699-5426"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.