PRINCETON FAMILY MEDICINE, PLLC
NPI 1154435881
Family Medicine in Princeton, WV

Active since August 19, 2006CLIA 51D1060514 · Waiver
904 HARRISON ST, PRINCETON, WV 24740(304) 431-7100(304) 431-7112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Princeton Family Medicine, Pllc NPPES

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

PRINCETON FAMILY MEDICINE, PLLC (NPI 1154435881) is a healthcare organization registered as a family medicine in Princeton, West Virginia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2026 and lists Ryan T. Runyon, Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1154435881
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRINCETON FAMILY MEDICINE, PLLC
Location Address904 HARRISON STPrinceton, WV 24740-3011
Mailing AddressPo Box 1589Princeton, WV 24740-1589 · (304) 431-7100 · Fax (304) 431-7112
Fax(304) 431-7112
Organization SubpartNo
Authorized OfficialRyan T. RunyonPhysician, Owner · (304) 431-7100
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1154435881 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 · 2005
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.
904 HARRISON ST, Princeton, WV 24740

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1060514

Princeton Family Medicine PLLC · Princeton, WV
Active · expires Oct 24, 2026
CLIA Number51D1060514
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorRyan T. Runyon Do
Laboratory Phone(304) 425-4040
Laboratory LocationPrinceton Family Medicine PLLC150 Misty Lane, Princeton, WV 24740
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Obstetrics & Gynecology
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Nurse Practitioner
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Obstetrics & Gynecology
904 HARRISON ST
PRINCETON, WV 24740
Family Medicine
904 HARRISON ST
PRINCETON, WV 24740
Pharmacy
904 HARRISON ST
PRINCETON, WV 24740

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 Princeton Family Medicine, PLLC's NPI number?

The NPI number for Princeton Family Medicine, PLLC is 1154435881. It was assigned to this organization in the NPPES registry on August 19, 2006.

Where is Princeton Family Medicine, PLLC located?

Princeton Family Medicine, PLLC is located at 904 Harrison St, Princeton, WV 24740. The listed phone number is (304) 431-7100.

What is Princeton Family Medicine, PLLC's specialty?

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

Does Princeton Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1060514) is associated with this NPI, valid through October 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Princeton Family Medicine, PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Princeton Family Medicine, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Princeton Family Medicine, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.