Individual provider Active NPI

James Kesley Egnor II, MD

  • Family Medicine Physician
  • Institute, WV
National Provider Identifier
1942289988
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09377 Issued in WV
Practice address
Barron Dr
Institute, WV 25112-1004
Phone
(304) 766-4855
Fax
(304) 766-4954
NPI assigned
Jan 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 09377 WV Primary

Addresses

Primary practice location

Barron Dr
Institute, WV 25112-1004

Mailing address

PO Box 1004
Barron Dr
Institute, WV 25112-1004
Phone (304) 766-4855

Other identifiers 2

IdentifierTypeStateIssuer
09377OtherWVWV BD OF MEDICINE
0073892000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09377WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St of WV Div of Rehabilitation Services Past Accepting new patients
Integrated Health Care Providers Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942289988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "address_2": "BARRON DR",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4855",
            "fax_number": "304-766-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRON DR",
            "city": "INSTITUTE",
            "state": "WV",
            "postal_code": "251121004",
            "telephone_number": "304-766-4855",
            "fax_number": "304-766-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGNOR",
        "first_name": "JAMES",
        "middle_name": "KESLEY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "09377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BD OF MEDICINE",
            "identifier": "09377",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073892000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Institute, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.