MODERN MEDICINE INC – NPI #1942256821
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.

Health Care Provider Taxonomy Code for Family Medicine

MODERN MEDICINE INC is a provider located in NITRO, WV. NPPES has assigned the NPI number 1942256821 to MODERN MEDICINE INC on May 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 14 years ago on Apr 19, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MODERN MEDICINE INC below.

NPI Profile for
MODERN MEDICINE INC

NPI Number
1942256821
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MODERN MEDICINE INC
Primary location
4114 1ST AVE
NITRO, WV 25143
Phone: (304) 755-0119 Fax: (304) 755-0111
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELIAS HAIKAL
PRESIDENT
Phone: (304) 755-0119
Updated
Identifiers

Identifiers for MODERN MEDICINE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDME MACWV6604540001
MEDICAIDWV0055458000.
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WV 1111
332B00000X
- Durable Medical Equipment & Medical Supplies		 WV 11111

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.