NPIMap

Organization Active NPI

Raleigh General Hospital LLC

Doing business as Raleigh General Cardiology Associates

  • Cardiovascular Disease Physician
  • Beckley, WV
National Provider Identifier
1083858377
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RALEIGH GENERAL HOSPITAL LLC
Doing business as
Raleigh General Cardiology Associates
Practice address
1717 Harper Rd
Second Floor Suite C
Beckley, WV 25801-3373
Phone
(304) 461-3914
Fax
(304) 461-3917
NPI assigned
Apr 30, 2009
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Robert N Klein
Title
President
Phone
(662) 843-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1717 Harper Rd
Second Floor Suite C
Beckley, WV 25801-3373

Mailing address

1717 Harper Rd
Second Floor Suite C
Beckley, WV 25801-3373
Phone (304) 461-3914

Other names 1

  • Raleigh General Cardiology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001132 WV Part B Supplier - Clinic/Group Practice 6103735154 Receives reassigned benefits from 67 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beckley, WV

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1083858377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HARPER RD",
            "address_2": "SECOND FLOOR SUITE C",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013373",
            "telephone_number": "304-461-3914",
            "fax_number": "304-461-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HARPER RD",
            "address_2": "SECOND FLOOR SUITE C",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013373",
            "telephone_number": "304-461-3914",
            "fax_number": "304-461-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH GENERAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-843-8885"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raleigh General Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.