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FAIRMONT PHYSICIANS INC NPI 1790714228


NPI Information

NPI: 1790714228
Provider Name: FAIRMONT PHYSICIANS INC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
211 MARION SQUARE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-0043
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FAIRMONT PHYSICIANS INC is an urology in Fairmont, WV. The provider is 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. FAIRMONT PHYSICIANS INC NPI is 1790714228. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 MARION SQUARE
FAIRMONT, WV
ZIP 26554
Phone: (304) 367-0043
Fax: (304) 367-9470

The provider's authorized official is George Boyles .
The authorized official title is Treasurer and has the following contact phone number (304) 367-7100.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 3/17/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208800000XUrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19272871MEDICARE ID-TYPE UNSPECIFIED
20009022000MEDICAIDWEST VIRGINIA
35922500001MEDICARE NSCWEST 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: 11/14/2023

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