Organization Active NPI

Forest Hill Family Practice

  • Family Medicine Physician
  • Forest Hill, WV
National Provider Identifier
1861520462
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FOREST HILL FAMILY PRACTICE
Practice address
WV Rural Route 12
Forest Hill, WV 24935-0153
Phone
(304) 466-1152
Fax
(304) 466-1192
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
James Howard Blume, DO
Title
Owner
Phone
(304) 466-1152

Specialties & licenses 1

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

Addresses

Primary practice location

WV Rural Route 12
Forest Hill, WV 24935-0153

Mailing address

PO Box 153
Forest Hill, WV 24935-0153
Phone (304) 466-1152

Other identifiers 2

IdentifierTypeStateIssuer
3810013019MedicaidWV
001710325OtherWVMT. STATE BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1861520462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "FOREST HILL",
            "state": "WV",
            "postal_code": "249350153",
            "telephone_number": "304-466-1152",
            "fax_number": "304-466-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WV RURAL ROUTE 12",
            "city": "FOREST HILL",
            "state": "WV",
            "postal_code": "249350153",
            "telephone_number": "304-466-1152",
            "fax_number": "304-466-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-466-1152",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013019",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BCBS",
            "identifier": "001710325",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.