Charleston Family Health Assoc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17129 Issued in WV

Legal business name

CHARLESTON FAMILY HEALTH ASSOC

Practice address

1218 Virginia Street East
Suite a
Charleston, WV 25301

Phone

(304) 345-8500

Fax

(304) 345-8979

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Lynn FR

Title

Manager

Phone

(304) 345-8500

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sue Ann Westfall, MD

  • Family Medicine Physician
  • Dawes, WV
  • NPI 1306921556
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891886636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 VIRGINIA STREET EAST",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-345-8500",
            "fax_number": "304-345-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 VIRGINIA STREET EAST",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25301",
            "telephone_number": "304-345-8500",
            "fax_number": "304-345-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON FAMILY HEALTH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FR",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-345-8500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "17129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011206000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Dermatology PLLC
• Charleston Diabetes & Endocrine Consultants, PLLC
• Charleston Digestive Disease, Inc.
• Charleston Eye Care, PLLC
• Charleston Family Chiropractic
• Charleston Family Practice Group
• Charleston Hearing Care, LLC
• Charleston Heart Clinic, Inc.
• Charleston Heart Specialists PLLC
• Charleston Heart Specialists PLLC

• Family Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.