Individual provider Active NPI

Robert Myles Austin, D.O.

  • Emergency Medicine Physician
  • Charleston, WV
National Provider Identifier
1063739944
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2623 Issued in WV
Practice address
3110 Maccorkle Ave SE
Charleston, WV 25304-1210
Phone
(304) 388-7170
Fax
(304) 388-1858
NPI assigned
Apr 30, 2010
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2623 WV Primary

Addresses

Primary practice location

3110 Maccorkle Ave SE
Charleston, WV 25304-1210

Mailing address

PO Box 1547
Charleston, WV 25326-1547
Phone (304) 388-7170

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
I20121029000102 WV Practitioner - Emergency Medicine 7416107461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care Alliance, Inc.Group PAC ID 5799689105, 9 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Point Pleasant Physician Billing Services Emergency Medicine CurrentSince May 24, 2018 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Nov 8, 2014 Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince Feb 10, 2018 Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1063739944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253261547",
            "telephone_number": "304-388-7170",
            "fax_number": "304-388-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041210",
            "telephone_number": "304-388-7170",
            "fax_number": "304-388-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ROBERT",
        "middle_name": "MYLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.