NPIMap

Organization Active NPI

Regional Family Medicine, Inc

  • General Practice Physician
  • Rupert, WV
National Provider Identifier
1942458039
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16231 Issued in WV
Legal business name
REGIONAL FAMILY MEDICINE, INC
Practice address
406Nicholas Street
Rupert, WV 25984
Phone
(304) 645-4043
Fax
(304) 645-4713
NPI assigned
Sep 3, 2008
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Colin A Rose, M.D.NPI 1104901347
Title
President
Phone
(304) 645-4043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17710 WV
General Practice Physician 208D00000X 16231 WV Primary

Addresses

Primary practice location

406Nicholas Street
Rupert, WV 25984

Mailing address

PO Box 1049
Lewisburg, WV 24901-4049
Phone (304) 645-4043

National Provider Directory

National Provider Directory

Locations

406 Nicholas St
Rupert, WV 25984

406Nicholas St
Rupert, WV 25984

Practitioners & affiliated clinicians

Practitioners 6

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": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1942458039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249014049",
            "telephone_number": "304-645-4043",
            "fax_number": "304-645-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406NICHOLAS STREET",
            "city": "RUPERT",
            "state": "WV",
            "postal_code": "25984",
            "telephone_number": "304-645-4043",
            "fax_number": "304-645-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-4043",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "17710",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "16231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.