WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC NPI 1639122690

NPI Information

NPI: 1639122690
Provider Name: WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
859 ALDERSON ST
WILLIAMSON, WV
ZIP 25661
Phone: (304) 235-2500
Get Directions

WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC is a family medicine in Williamson, WV. The provider is 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. WILLIAMSON HMA PHYSICIAN MANAGEMENT LLC NPI is 1639122690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

859 ALDERSON ST
WILLIAMSON, WV
ZIP 25661-215
Phone: (304) 235-2500
Fax: (304) 235-4549

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2086S0129X	Surgery	Vascular Surgery	No
2	208800000X	Urology		No
3	363A00000X	Physician Assistant		No
4	363L00000X	Nurse Practitioner		No
5	208600000X	Surgery		No
6	367500000X	Nurse Anesthetist, Certified Registered		No
7	207L00000X	Anesthesiology		No
8	207RC0000X	Internal Medicine	Cardiovascular Disease	No
9	207Y00000X	Otolaryngology		No
10	208000000X	Pediatrics		No
11	2085R0202X	Radiology	Diagnostic Radiology	No
12	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	78902590	MEDICAID	KENTUCKY
2	65937609	MEDICAID	KENTUCKY
3	0206129000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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