Organization Active NPI

Grand Central Family Medicine, P.L.L.C.

  • Family Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1891756029
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAND CENTRAL FAMILY MEDICINE, P.L.L.C.
Practice address
418 Grand PK Dr
Suite 312
Parkersburg, WV 26101-0000
Phone
(304) 422-3400
Fax
(304) 422-7893
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
David W Avery, M.D.
Title
Owner
Phone
(304) 422-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

418 Grand PK Dr
Suite 312
Parkersburg, WV 26101-0000

Mailing address

418 Grand PK Dr
Suite 312
Parkersburg, WV 26101-0000
Phone (304) 422-3400

National Provider Directory

National Provider Directory

Locations

418 Grand Park Dr
Ste 312
Parkersburg, WV 26105
Phone (304) 422-3400

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1891756029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GRAND PK DR",
            "address_2": "SUITE 312",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261010000",
            "telephone_number": "304-422-3400",
            "fax_number": "304-422-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GRAND PK DR",
            "address_2": "SUITE 312",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261010000",
            "telephone_number": "304-422-3400",
            "fax_number": "304-422-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND CENTRAL FAMILY MEDICINE, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-422-3400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.