Matthew P Arvon, D.O.
Individual provider Active NPI Family Medicine Physician · Colcord, WV
NPI 1063505873 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1063505873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1659 (WV)
- Practice address
- 189 Home School Village
Colcord, WV 25048 - Phone
- (304) 854-1324
- Fax
- (304) 854-1996
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Princeton Community Hospital Assn. Inc.
Practice addresses (Care Compare)
111 Morning Star LN
Beckley, WV 25801-7118
Phone (304) 252-3900
401 E Vermillion St
Athens, WV 24712-8005
Phone (304) 384-7325
Hospital & facility affiliations
- Princeton Community Hospital Assn Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 56 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000165 | WV | Practitioner - Family Practice | 1850328238 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1659 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Vein Care, Inc. | Current |
Accepting new patients | |
| My Vein Care, Inc. | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current |
Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current |
Accepting new patients | |
| Community Health Systems, Inc. | Past | Accepting new patients |
Locations
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
111 Morning Star Ln
Beckley, WV 25801
Phone (304) 252-3900
615 Market Rd
Beckley, WV 25801
Phone (304) 252-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1659 | WV | Yes |
Addresses
Primary practice location
189 Home School Village
Colcord, WV 25048
Mailing address
PO Box 147
Dorothy, WV 25060-0147
Phone (304) 854-1324
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001304980 | Other | BCBS | |
| 22603 | Medicaid | WV | |
| 288995 | Other | UNITEDHEALTHCARE | |
| 206638 | Other | CARELINK | |
| 5600616000 | Medicaid | WV | |
| A01659 | Medicaid | WV |
Other providers in Colcord, WV
- Jeremy Kaleb Barnett
- Connie Brown
- Lesley Nichole Buzzard
- Sandra Gail Carter
- Community Health Systems, Inc.
All providers in Colcord, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.