FAIRMONT PHYSICIANS INC – NPI #1790714228
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.

FAIRMONT PHYSICIANS INC is an urologist located in FAIRMONT, WV. NPPES has assigned the NPI number 1790714228 to FAIRMONT PHYSICIANS INC on June 30, 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 17 years ago on Mar 17, 2009. 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 FAIRMONT PHYSICIANS INC below.

NPI Profile for
FAIRMONT PHYSICIANS INC

NPI Number
1790714228
Enumeration Date

(about 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
FAIRMONT PHYSICIANS INC
Primary location
211 MARION SQUARE
FAIRMONT, WV 26554
Phone: (304) 367-0043 Fax: (304) 367-9470
Mailing address
PO BOX 2990
FAIRMONT, WV 26554
Phone: (304) 367-0043 Fax: (304) 367-9470
Organization Subpart
No
Authorized Official
GEORGE BOYLES
TREASURER
Phone: (304) 367-7100
Updated
Identifiers

Identifiers for FAIRMONT PHYSICIANS 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
MEDICAIDWV0009022000
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
208800000X
- Urology (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry
207Q00000X
- Family Medicine

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.