MEDICARE: DR. JAMES M MEARS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	15912	WV
2	207Q00000X	Family Medicine Physician	15912	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861594558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES M MEARS M.D.

Provider Business Mailing Address
First Line	:	3200 MACCORKLE AVE SE FL 5
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1227
Country	:	US
Telephone Number	:	304-388-4600
Fax Number	:	304-388-4603

Provider Business Practice Location Address
First Line	:	3200 MACCORKLE AVE SE FL 5
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1297
Country	:	US
Telephone Number	:	304-388-4600
Fax Number	:	304-388-4603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/10/2023

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Directions to “ DR. JAMES M MEARS M.D.” Practice Location

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