Active NPI
Forest Hill Family Practice
- Family Medicine Physician
- Forest Hill, WV
National Provider Identifier
1861520462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810013019 | Medicaid | WV | |
| 001710325 | Other | WV | MT. STATE BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Princeton, WV
- NPI 1396786562
-
- Family Nurse Practitioner
- Wytheville, VA
- NPI 1164768479
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.