PAMELA P FAULKNER D.O. NPI 1003871401

Family Medicine in Princeton, WV

About PAMELA FAULKNER

Pamela Faulkner is a provider in Princeton, WV with more than 33 years of experience. The NPI number assigned to this provider is 1003871401. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated one year ago. Pamela Faulkner is registered with Medicare and accepts claims assignment.

NPI1003871401 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name PAMELA P FAULKNER D.O.
Provider Location Address403 12TH STREET EXT PRINCETON, WV 24740 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 1030 PRINCETON, WV 24740 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year1985
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-19-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-16-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PAMELA P FAULKNER D.O.
403 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 431-7100
Fax: (304) 431-7112
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Mailing Address

PAMELA P FAULKNER D.O.
PO BOX 1030
PRINCETON, WV
ZIP 24740
Phone: (304) 431-7100
Fax: (304) 431-7112

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.1040
License StateWV
Taxonomy DescriptionFamily 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
MI 93194661MEDICARE PIN (08)WV
0203303000MEDICAID (05)WV
B42819MEDICARE UPIN (02)WV

Map Location


PAMELA P FAULKNER D.O. address is 403 12TH STREET EXT PRINCETON, WV 24740

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063857126MS. MELISSA RENEE BAKER FNP-BC
Individual
Nurse Practitioner (Family)403 12TH STREET EXT
PRINCETON, WV 24740
(304) 431-3333