MIDTOWNE FAMILY PRACTICE PLLC (NPI# 1154436004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154436004 |
| Entity Type | Organization |
| Organization Name | MIDTOWNE FAMILY PRACTICE PLLC |
| Practice Address |
904 Harrison St Princeton WV 24740-3011 |
| Mailing Address |
Po Box 1030 Princeton WV 24740-1030 |
| Practice Telephone | 3044317100 |
| Practice Fax Number | 3044317112 |
| Mailing Telephone | 3044317100 |
| Mailing Fax Number | 3044317112 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAMELA P. FAULKNER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3044317100 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1040 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0051816000 | 05 |
| Street Address |
904 HARRISON ST |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932115938 | Ryan T Runyon | Family Medicine | 904 Harrison St, Princeton, WV 24740-3011 | 2006-07-31 |
| 1689190316 | Community Health Systems Inc. | Family Medicine | 904 Harrison St, Princeton, WV 24740-3011 | 2017-08-15 |
| 1366898843 | Stepp Family Practice | Family Medicine | 904 Harrison St, Princeton, WV 24740-3011 | 2016-05-13 |
| 1437547346 | Kelsey Mills | Physician Assistant | 904 Harrison St, Princeton, WV 24740-3011 | 2014-12-30 |
| 1013240688 | Tabitha E Cox | Physician Assistant | 904 Harrison St, Princeton, WV 24740-3011 | 2009-09-14 |
| 1558528018 | Lori Tucker, Do Pllc | Obstetrics & Gynecology | 904 Harrison St, Princeton, WV 24740-3011 | 2008-05-21 |
| 1407021447 | Jodie L Posey-bucks | Obstetrics & Gynecology | 904 Harrison St, Princeton, WV 24740-3011 | 2008-04-29 |
| 1528168234 | Kimberly Ann Weatherly | Nurse Practitioner | 904 Harrison St, Princeton, WV 24740-3011 | 2006-09-23 |
| 1750497145 | Four Seasons Family Practice | Family Medicine | 904 Harrison St, Princeton, WV 24740-3011 | 2006-08-21 |
| 1104931906 | Donna G Southers | Family Medicine | 904 Harrison St, Princeton, WV 24740-3011 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612587 | Joan M Markison | Family Medicine | 22 Morven Pl, Princeton, NJ 08540-3024 | 2019-07-29 |
| 1619531142 | Christina Sheil | Family Medicine | 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 | 2019-04-30 |
| 1174874200 | Alegis Care - New Jersey PC | Family Medicine | 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 | 2012-09-28 |
| 1548557341 | Nicholas Samuel Muscari | Family Medicine | 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 | 2011-06-30 |
| 1396041844 | The Other Way | Family Medicine | 923 Cherry Hill Rd, Princeton, NJ 08540-7711 | 2011-02-01 |
| 1699082974 | Melissa Ann Hurst | Family Medicine | 365 Courthouse Rd, Princeton, WV 24740-2431 | 2010-09-08 |
| 1023279197 | Mark Leenay | Family Medicine | 6940 338th Ln Nw, Princeton, MN 55371-5007 | 2008-06-22 |
| 1619135860 | Elizabeth Joanne Peterson | Family Medicine | 911 Northland Dr., Princeton, MN 55371-1737 | 2008-05-23 |
| 1346444106 | Brian Zack | Family Medicine | 14 Hageman Ln, Princeton, NJ 08540-7547 | 2007-06-13 |
| 1952444234 | Jana Michelle Peters | Family Medicine | 365 Courthouse Road, Princeton, WV 24740 | 2007-02-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.