Active NPI
James P. Dehaven, M.D.
- Orthopaedic Surgery Physician
- Lewisburg, WV
National Provider Identifier
1083615249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 14868
- Practice address
- 176 Dawkins Dr
Lewisburg, WV 24901-9302 - Phone
- (304) 645-6083
- Fax
- (304) 645-1439
- NPI assigned
- Aug 9, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 14868 | WV | Primary |
Addresses
Primary practice location
176 Dawkins Dr
Lewisburg, WV 24901-9302
Mailing address
176 Dawkins Dr
Lewisburg, WV 24901-9302
Phone (334) 793-9564
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-21772 | Other | AL | BCBS OF AL- 4300 W. MAIN |
| 515-21771 | Other | AL | BCBS OF AL- 1500 ROSS CL |
| 009938927 | Medicaid | AL | |
| 009956355 | Medicaid | AL | |
| 009956365 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13374 | AL | MD | Pharmacist |
| 14868 | WV | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- jdehaven@yourcarecommunity.org
- jdehaven@rhc.gwaydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1083615249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 DAWKINS DR",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249019302",
"telephone_number": "334-793-9564",
"fax_number": "334-671-8907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 DAWKINS DR",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249019302",
"telephone_number": "304-645-6083",
"fax_number": "304-645-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAVEN",
"first_name": "JAMES",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": "14868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL- 4300 W. MAIN",
"identifier": "515-21772",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL- 1500 ROSS CL",
"identifier": "515-21771",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009938927",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009956355",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009956365",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.