Organization Active NPI

Michael Shramowiat LLC

  • Physical Medicine & Rehabilitation Physician
  • Vienna, WV
National Provider Identifier
1003820374
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
17187 Issued in WV
Legal business name
MICHAEL SHRAMOWIAT LLC
Practice address
1158 46TH St
Vienna, WV 26105-9409
Phone
(304) 295-3131
Fax
(304) 295-0700
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael E Shramowiat, M.D.
Title
Owner
Phone
(304) 295-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 17187 WV Primary

Addresses

Primary practice location

1158 46TH St
Vienna, WV 26105-9409

Mailing address

1158 46TH St
Vienna, WV 26105-9409
Phone (304) 295-3131

Other identifiers 1

IdentifierTypeStateIssuer
0113659000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1158 46th St
Vienna, WV 26105
Phone (304) 295-3131

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1003820374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 46TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261059409",
            "telephone_number": "304-295-3131",
            "fax_number": "304-295-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 46TH ST",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261059409",
            "telephone_number": "304-295-3131",
            "fax_number": "304-295-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SHRAMOWIAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "SHRAMOWIAT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-295-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "17187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113659000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.