Andres L. Rago MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11441 Issued in WV

Legal business name

ANDRES L. RAGO MD PC

Practice address

135 Main Street
Keystone, WV 24852

Phone

(304) 862-4611

Fax

(304) 862-4611

NPI assigned

Nov 6, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andres L. Rago, MDNPI 1508808007

Title

President

Phone

(304) 862-4611

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Andres Laurente Rago, M.D.

  • Family Medicine Physician
  • Keystone, WV
  • NPI 1508808007
  NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1114096161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 52 BOX 135",
            "city": "KEYSTONE",
            "state": "WV",
            "postal_code": "248527501",
            "telephone_number": "304-862-4611",
            "fax_number": "304-862-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MAIN STREET",
            "city": "KEYSTONE",
            "state": "WV",
            "postal_code": "24852",
            "telephone_number": "304-862-4611",
            "fax_number": "304-862-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES L. RAGO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "RAGO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-862-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042438000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREMARK",
            "identifier": "1300188",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Council of the Southern Mountains
• Council of the Southern Mountains, WV Branch, McDowell Co Chapter, Inc
• Sharon Dotson
• Andres Laurente Rago, M.D.

• Family Medicine Physician in Keystone, WV
• Providers in Keystone, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.