Primary Oncology Network Pllc, NPI 1588610570
Hematology & Oncology Physician in Fairmont, WV, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1588610570 |
| NPI Entity Type | Organization |
| Provider Name | Primary Oncology Network Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1325 Locust Ave Ste 15, Fairmont, WV, US |
| Provider Mailing Address | Po Box 1286, Fairmont, WV, US, 265551286 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD, FACP John Jurjus Azar |
| Official Position | OWNER |
| Phone | 304-366-0111 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| Description | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 17192 | WV | No | |||
| 26308 | WV | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 0204568000 | WV | MEDICAID | 05 |
| CH6378 | WV | RAILROAD MEDICARE | 01 |
Other Providers in WV, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
Jennifer Knight Individual |
829 Fairmont Rd |
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MR. Wayne Matthew Bachelor Individual |
1057 6th Ave |
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Melissa Jones Individual |
200 Association Dr Ste 130 |
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Gideon Mossor Individual |
200 Association Dr Ste 130 |
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Tanisha Wilson Individual |
200 Association Dr Ste 130 |
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Deloris Ann Hopkins Individual |
42 Parrish Ln |
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Elizabeth Neal Individual |
1614 S Kanawha St |
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Luke Petrice Individual |
710 Maple St |
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Joshua Riley Individual |
200 Association Dr Ste 130 |
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Karie Morrison Individual |
10 6th Ave W |
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Katelyn Lucas Individual |
712 Mercer St Ste D |
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Jenna Taylor Individual |
10 6th Ave W |
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Tisean Jayree Walker Individual |
1650 Glenway Ln |
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Montana Wallace Individual |
10 6th Ave W |
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Natasha Sharon Sexton Individual |
400 Bluefield St Lot 16 |
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Katheryn Joyce Bailey Individual |
1236 Madison Ave |
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Alexis Perry Individual |
712 Mercer St Ste D |
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Stevie Dawn Cline Individual |
695 Mountaineer Hwy |
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|
Britney Brogan Individual |
267 Midway Rd |
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|
Mary Mccullough Individual |
1599 2nd Ave |
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