EQUINOX LLC - NPI 1942407465 - Family Medicine in Ravenswood, WV

Q: What is Equinox LLC's NPI number?

The NPI number for Equinox LLC is 1942407465. It was assigned to this organization in the NPPES registry on June 28, 2007.

Q: What is Equinox LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Equinox LLC was last updated on October 16, 2007. 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.

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About Equinox Llc NPPES

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

EQUINOX LLC (NPI 1942407465) is a healthcare organization registered as a family medicine in Ravenswood, West Virginia and active in the NPI registry since June 2007. The organization lists Richard J. Blackburn, President, as its authorized official.

NPPES Registry Identity

NPI1942407465

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEQUINOX LLC

Location Address705 WASHINGTON STRavenswood, WV 26164-1729

Mailing Address705 Washington StRavenswood, WV 26164-1729 · (304) 868-6000 · Fax (304) 868-6002

Phone(304) 868-6000

Fax(304) 868-6002

Organization SubpartNo

Authorized OfficialRichard J. BlackburnPresident · (304) 868-6000

Enumeration DateJune 28, 2007

Last NPPES UpdateOctober 16, 2007

✔ NPI 1942407465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

705 WASHINGTON ST, Ravenswood, WV 26164

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Other Identifiers 1

Medicare PIN9352581WV

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 9

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

MATTHEW COLVIN PA-C

Physician Assistant