NPIMap

Organization Active NPI

Karen Hultman Inc

  • Family Medicine Physician
  • Fayetteville, WV
National Provider Identifier
1972594844
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
986 Issued in WV
Legal business name
KAREN HULTMAN INC
Practice address
439 Elizabeth Hwy
Fayetteville, WV 25840-6865
Phone
(304) 574-2600
Fax
(304) 574-2951
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Karen Hultman, DO
Title
President
Phone
(304) 574-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 986 WV Primary

Addresses

Primary practice location

439 Elizabeth Hwy
Fayetteville, WV 25840-6865

Mailing address

439 Elizabeth Hwy
Fayetteville, WV 25840-6865
Phone (304) 574-2600

Other identifiers 2

IdentifierTypeStateIssuer
DA4369OtherWVRR MCARE
001705906OtherWVBC

Other names 1

  • Family Medical Kare Doing business as

National Provider Directory

National Provider Directory

Locations

439 Elizabeth Hwy
Fayetteville, WV 25840
Phone (304) 574-2600

Practitioners & affiliated clinicians

Practitioners 3

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1972594844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 ELIZABETH HWY",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406865",
            "telephone_number": "304-574-2600",
            "fax_number": "304-574-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 ELIZABETH HWY",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406865",
            "telephone_number": "304-574-2600",
            "fax_number": "304-574-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN HULTMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "HULTMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-574-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "DA4369",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "001705906",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Kare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.