Organization Active NPI

Orthoclinic

  • Specialist
  • South Charleston, WV
National Provider Identifier
1114000825
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ORTHOCLINIC
Practice address
610 Chestnut St
South Charleston, WV 25309-1251
Phone
(304) 766-7515
Fax
(304) 766-7566
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mr. Mark Keith Hall, RTR
Title
Office Administrator
Phone
(304) 766-7515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

610 Chestnut St
South Charleston, WV 25309-1251

Mailing address

610 Chestnut St
South Charleston, WV 25309-1251
Phone (304) 766-7515

National Provider Directory

National Provider Directory

Locations

624 Chestnut St
South Charleston, WV 25309
Phone (304) 766-1133

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1114000825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091251",
            "telephone_number": "304-766-7515",
            "fax_number": "304-766-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CHESTNUT ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091251",
            "telephone_number": "304-766-7515",
            "fax_number": "304-766-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "304-766-7515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.