Mary Elizabeth Faw, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

20376 Issued in WV

Practice address

3825 Teays Valley Road
Suite 100
Hurricane, WV 25526

Phone

(304) 757-0050

Fax

(304) 757-0061

NPI assigned

Jul 12, 2006

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Mary's Himg, LLC

  • Internal Medicine Physician
  • Huntington, WV
  • NPI 1184233454

  Endocrinology, Diabetes & Metabolism

  NPD (past)
• Ultimate Health Services Inc

  dba Huntington Internal Medicine Group

  • Family Medicine Physician
  • Huntington, WV
  • NPI 1467492975
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1811922362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1320",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251771320",
            "telephone_number": "304-388-1724",
            "fax_number": "304-388-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 TEAYS VALLEY ROAD",
            "address_2": "SUITE 100",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-757-0050",
            "fax_number": "304-757-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAW",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "20376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001723914",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.E.I.A./ACORDIA",
            "identifier": "753146655",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001723915",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "F.E.I.N.",
            "identifier": "753146655",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01050843",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3005015-000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7560573",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Farley
• Elizabeth Suzanne Farley, MA
• Faith Farley
• Susan E. Farley, FNP-BC
• Lura June Fauber, MA CCC-SLP
• David A Felder Jr., M.D.
• Femcare PLLC
• Larry Nickolas Ferguson, PTA
• Chelsea Dawn Fields
• Nicole Finley, APRN

• Endocrinology, Diabetes & Metabolism Physician in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Endocrinology, Diabetes & Metabolism Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.