Individual provider Active NPI

Jacob Cameron McNeel, D.O.

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1003839663
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1467 Issued in WV
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0046767000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000387 WV Practitioner - Family Practice 5193859304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1467WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 13, 2013 Accepting new patients
Appalachian Regional Healthcare, Inc Family Medicine CurrentSince Nov 13, 2013 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.