Active NPI
Jacob Cameron McNeel, D.O.
- Family Medicine Physician
- Beckley, WV
National Provider Identifier
1003839663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1467
- Practice address
- 250 Stanaford Road
Ste 210
Beckley, WV 25801-3140 - Phone
- (304) 254-2618
- Fax
- (304) 254-2669
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1467 | WV | Primary |
Addresses
Primary practice location
250 Stanaford Road
Ste 210
Beckley, WV 25801-3140
Mailing address
250 Stanaford Rd
Beckley, WV 25801-3140
Phone (304) 465-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0046767000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1467 | WV | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978
250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331
1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004
250 Stanaford Rd
Ste 210
Beckley, WV 25801
Phone (304) 254-2618
Interoperability endpoints
- jacobmcneel@arh.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Beckley, WV
- NPI 1477510162
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1003839663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 STANAFORD RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013140",
"telephone_number": "304-465-1030",
"fax_number": "304-469-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 STANAFORD ROAD",
"address_2": "STE 210",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013140",
"telephone_number": "304-254-2618",
"fax_number": "304-254-2669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEEL",
"first_name": "JACOB",
"middle_name": "CAMERON",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1467",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0046767000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.