NPIMap

Organization Active NPI

Mountain Rose Family Medicine Inc

  • Family Medicine Physician
  • Keyser, WV
National Provider Identifier
1811211048
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02095 Issued in WV
Legal business name
MOUNTAIN ROSE FAMILY MEDICINE INC
Practice address
Route 4 Box 104
Keyser, WV 26726
Phone
(304) 597-2490
Fax
(304) 597-2492
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Elaine S Price, DO
Title
Physician/Owner
Phone
(304) 597-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 02095 WV Primary

Addresses

Primary practice location

Route 4 Box 104
Keyser, WV 26726

Mailing address

RT 4 Box 104
Keyser, WV 26726
Phone (304) 597-2490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1811211048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 4 BOX 104",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-597-2490",
            "fax_number": "304-597-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 4 BOX 104",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-597-2490",
            "fax_number": "304-597-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ROSE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "304-597-2490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "02095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.