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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAIN STREET FAMILY PRACTICE, INC
NPI 1073542809
Family Medicine in Logan, WV

Active since July 02, 2006
533 MAIN ST, LOGAN, WV 25601(304) 752-3400(304) 752-8138 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Apr 24, 2026, Aug 22, 2020 (3 updates tracked since 2020).

About Main Street Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET FAMILY PRACTICE, INC (NPI 1073542809) is a healthcare organization registered as a family medicine in Logan, West Virginia and active in the NPI registry since July 2006. The organization lists Wendy White, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1073542809
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAIN STREET FAMILY PRACTICE, INC
Location Address533 MAIN STLogan, WV 25601-3809
Mailing Address533 Main StLogan, WV 25601-3809 · (304) 752-3400 · Fax (304) 752-8138
Phone(304) 752-3400
Fax(304) 752-8138
Organization SubpartNo
Authorized OfficialWendy WhiteCredentialing Specialist · (304) 688-7027
Enumeration DateJuly 2, 2006
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1073542809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 016632
Definition
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.
533 MAIN ST, Logan, WV 25601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH SELLS DO
Family Medicine
533 MAIN ST
LOGAN, WV 25601
Logan County (304) 752-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Family Practice, Inc's NPI number?

The NPI number for Main Street Family Practice, Inc is 1073542809. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Main Street Family Practice, Inc located?

Main Street Family Practice, Inc is located at 533 Main St, Logan, WV 25601. The listed phone number is (304) 752-3400.

What is Main Street Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Main Street Family Practice, Inc was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.