Fairmont Physicians Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FAIRMONT PHYSICIANS INC

Practice address

211 Marion Square
Fairmont, WV 26554

Phone

(304) 367-0043

Fax

(304) 367-9470

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

George Boyles

Title

Treasurer

Phone

(304) 367-7100

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Henry Horner, MD

  • Family Medicine Physician
  • Fairmont, WV
  • NPI 1760481931
  NPD
• Robert Matthew McCoy, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Charleston, WV
  • NPI 1215060066
  NPD
• Tyler J. Prouty, M.D.

  • Obstetrics & Gynecology Physician
  • Bridgeport, WV
  • NPI 1225247877
  NPD
• Ahmed Aboraya, M.D.

  • Psychiatry Physician
  • Morgantown, WV
  • NPI 1760458756
  NPD (past)
• Mouhannad Azzouz, M.D.

  • Neurology Physician
  • Morgantown, WV
  • NPI 1760506018
  NPD (past)
• Kevin M Clarke, MD

  • Emergency Medicine Physician
  • Fairmont, WV
  • NPI 1487664835
  NPD (past)
• Joshua Michael Dower, M.D.

  • Internal Medicine Physician
  • Morgantown, WV
  • NPI 1790901999
  NPD (past)
• Daniel E Elswick, M.D.

  • Psychiatry Physician
  • Morgantown, WV
  • NPI 1891705125
  NPD (past)
• Jann E Foley, C.N.M.

  • Advanced Practice Midwife
  • Morgantown, WV
  • NPI 1558336685
  NPD (past)
• Mark G Inman, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Charleston, WV
  • NPI 1285624791
  NPD (past)
• Susan Bragg Leight, EDD

  • Family Nurse Practitioner
  • Buckhannon, WV
  • NPI 1508032202
  NPD (past)
• Matthew A Madrid, P.T.

  • Physical Therapist
  • Nutter Fort, WV
  • NPI 1033166087
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1790714228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2990",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-367-0043",
            "fax_number": "304-367-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MARION SQUARE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "26554",
            "telephone_number": "304-367-0043",
            "fax_number": "304-367-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "304-367-7100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009022000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairmont General Hospital, Inc.
• Fairmont General Hospital, Inc.
• Fairmont General Hospital, Inc.
• Fairmont General Mdgrp
• Fairmont Medical Group Inc
• Fairmont Physicians, Inc
• Fairmont Physicians, Inc.
• Fairmont Physicians, Inc.
• Fairmont Regional Cancer Center
• Fairmont Rehabilitation and Healthcare Center LLC

• Urology Physician in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Urology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.