Active NPI
Fayette County Board of Health
- Family Medicine Physician
- Fayetteville, WV
National Provider Identifier
1982783262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAYETTE COUNTY BOARD OF HEALTH
- Practice address
- 202 Church St
Fayetteville, WV 25840-1208 - Phone
- (304) 574-1617
- Fax
- (304) 574-1370
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Clifford Newell Jr., D.O.
- Title
- Physician,Director
- Phone
- (304) 574-1617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Public Health or Welfare Agency | 251K00000X | 001 | WV |
Addresses
Primary practice location
202 Church St
Fayetteville, WV 25840-1208
Mailing address
202 Church St
Fayetteville, WV 25840-1208
Phone (304) 574-1617
Other names 1
- Fayette County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Church St
Fayetteville, WV 25840
Phone (304) 574-1617
Practitioners & affiliated clinicians
Practitioners 1
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": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1982783262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CHURCH ST",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258401208",
"telephone_number": "304-574-1617",
"fax_number": "304-574-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CHURCH ST",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "258401208",
"telephone_number": "304-574-1617",
"fax_number": "304-574-1370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTE COUNTY BOARD OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2022-07-21",
"certification_date": "2021-03-15",
"status": "A",
"authorized_official_last_name": "NEWELL",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "CLIFFORD",
"authorized_official_title_or_position": "PHYSICIAN,DIRECTOR",
"authorized_official_telephone_number": "304-574-1617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WV",
"license": "001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fayette County Health Department",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Fayette County Health Department",
"code": "5",
"type": "Other Name"
}
]
}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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.