Organization Active NPI

Adin L Timbayan MD Inc

Doing business as Family Medical & Surgical Center

  • General Practice Physician
  • Montgomery, WV
National Provider Identifier
1922160787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ADIN L TIMBAYAN MD INC
Doing business as
Family Medical & Surgical Center
Practice address
411 Washington St
Montgomery, WV 25136
Phone
(304) 442-4204
Fax
(304) 442-4204
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Victoria S Timbayan, MD
Title
Secretary
Phone
(304) 442-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

411 Washington St
Montgomery, WV 25136

Mailing address

PO Box 299
411 Washington St
Montgomery, WV 25136
Phone (304) 442-4204

Other names 1

  • Family Medical & Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

411 Washington St
Montgomery, WV 25136
Phone (304) 442-4204

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922160787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "address_2": "411 WASHINGTON ST",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "25136",
            "telephone_number": "304-442-4204",
            "fax_number": "304-442-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WASHINGTON ST",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "25136",
            "telephone_number": "304-442-4204",
            "fax_number": "304-442-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIN L TIMBAYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMBAYAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "304-442-4204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical & Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, WV

Sources for this page

  • 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.