FAIRMONT PHYSICIANS INC (NPI# 1790714228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790714228 |
| Entity Type | Organization |
| Organization Name | FAIRMONT PHYSICIANS INC |
| Practice Address |
211 Marion Square Fairmont WV 26554 |
| Mailing Address |
Po Box 2990 Fairmont WV 26554 |
| Practice Telephone | 3043670043 |
| Practice Fax Number | 3043679470 |
| Mailing Telephone | 3043670043 |
| Mailing Fax Number | 3043679470 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-03-17 |
| Authorized Official Name | GEORGE BOYLES (TREASURER) |
| Authorized Official Telephone | 3043677100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009022000 | 05 |
| Street Address |
211 MARION SQUARE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833746 | John Daniel Holstine | Urology | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153825 | Amjad H. Alwaal | Urology | 1115 20th St Ste 107, Huntington, WV 25703-0003 | 2013-10-15 |
| 1184062549 | Appalachian Regional Healthcare, Inc. | Urology | 407 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1477823060 | Steve Joseph Misak | Urology | 2118 Jefferson St, Bluefield, WV 24701-4708 | 2012-01-12 |
| 1639477284 | S Vyas Md Inc | Urology | 22 1/2 W 2nd Ave, Williamson, WV 25661-3506 | 2011-03-07 |
| 1992012728 | Ignacio H Luna Md Inc | Urology | 426 Eighth St., Suite 300, Glen Dale, WV 26038 | 2010-08-31 |
| 1083893648 | Rodney Dean Md Pllc | Urology | 432 Division St, South Charleston, WV 25309-1402 | 2007-10-31 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1184757163 | Naeem Pervaiz, M.d., P.C. | Urology | 608 New Hope Rd Ste 1, Princeton, WV 24740-2287 | 2007-03-13 |
| 1558496489 | Rajendra K Jain Urology Inc | Urology | 2828 First Ave Suite 204, Huntington, WV 25702 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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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.