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MOUNTAINEER FAMILY MEDICINE, INC.
NPI 1295874436
Family Medicine in Charleston, WV

Active since February 05, 2007
500 POPLAR ST, SUITE 204, CHARLESTON, WV 25309(304) 767-7840(304) 767-7849 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountaineer Family Medicine, Inc. NPPES

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

MOUNTAINEER FAMILY MEDICINE, INC. (NPI 1295874436) is a healthcare organization registered as a family medicine in Charleston, West Virginia and active in the NPI registry since February 2007. The organization lists Mohamad Samah Kalou, Owner, as its authorized official.

NPPES Registry Identity

NPI1295874436
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAINEER FAMILY MEDICINE, INC.
Location Address500 POPLAR ST, SUITE 204Charleston, WV 25309-1474
Mailing AddressPo Box 11908Charleston, WV 25339-1908 · (304) 767-7840 · Fax (304) 767-7849
Phone(304) 767-7840
Fax(304) 767-7849
Organization SubpartNo
Authorized OfficialMohamad Samah KalouOwner · (304) 767-7840
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1295874436 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 · 22493
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.
500 POPLAR ST, Charleston, WV 25309
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Other Identifiers 3

Medicare PIN9367011WV
Medicaid3810010965WV
Medicare UPINI63345

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

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 12

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

COMPREHENSIVE SURGICAL ASSOCIATES PLLC
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3600
MS. LISA MARIE MCCLURE FNP-C
Nurse Practitioner (Family)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-2121
MOUNTAIN PRIDE ORTHOPAEDICS
Orthopaedic Surgery
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374
REBECCA ANN ASHWORTH MSN, APRN, FNP-C
Nurse Practitioner
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-4350
JOHNNA MICHELLE JACKSON D.O.
Surgery
500 POPLAR ST, SUITE 304
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 767-7770
RICHARD W CRADDOCK PA-C
Physician Assistant
500 POPLAR ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 342-3891
GRETA VIRGINIA GUYER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
500 POPLAR ST, SUITE 202
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-2121
MATTHEW LORING PARSONS PA-C
Physician Assistant (Medical)
500 POPLAR ST, SUITE 303
CHARLESTON, WV 25309
Kanawha County (304) 766-7374

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 Mountaineer Family Medicine, Inc.'s NPI number?

The NPI number for Mountaineer Family Medicine, Inc. is 1295874436. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Mountaineer Family Medicine, Inc. located?

Mountaineer Family Medicine, Inc. is located at 500 Poplar St Suite 204, Charleston, WV 25309. The listed phone number is (304) 767-7840.

What is Mountaineer Family Medicine, Inc.'s specialty?

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

What insurance does Mountaineer Family Medicine, Inc. accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mountaineer Family Medicine, Inc. 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 Mountaineer Family Medicine, Inc. was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.