Stephan J Serfontein MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21778 Issued in WV

Legal business name

STEPHAN J SERFONTEIN MD PLLC

Practice address

2418 Jefferson Ave
Point Pleasant, WV 25550-1528

Phone

(304) 675-6835

Fax

(304) 675-6849

NPI assigned

Nov 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephanus J Serfontein, M.D.

Title

Sole Proprietor

Phone

(304) 675-6835

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1841528577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255500534",
            "telephone_number": "304-675-6835",
            "fax_number": "304-675-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 JEFFERSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-6835",
            "fax_number": "304-675-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN J SERFONTEIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "SERFONTEIN",
        "authorized_official_first_name": "STEPHANUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "304-675-6835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Hope Speed, CNP
• Jennifer Spradlin
• Sarah B Mechelle Sprouse, MSN, APRN, FNP-BC
• Graham N Stanley, CRNA
• Heather Stehly
• Kayla Stiffler
• Mandy Stover
• Terry Stutler
• Alexis Reign Swain
• Jennifer Swisher

• Internal Medicine Physician in Point Pleasant, WV
• Providers in Point Pleasant, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.