NPIMap

Organization Active NPI

Leo P. Pajarillo, M.D. Inc.

  • Clinic/Center
  • Williamson, WV
National Provider Identifier
1124268560
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEO P. PAJARILLO, M.D. INC.
Practice address
701 College HL
Williamson, WV 25661-3300
Phone
(304) 235-5225
Fax
(304) 235-5282
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Leo Pantilla Pajarillo, M.D.
Title
President
Phone
(304) 235-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

701 College HL
Williamson, WV 25661-3300

Mailing address

701 College Hill
P.O. Box 380
Williamson, WV 25661-3300
Phone (304) 235-5225

Other identifiers 2

IdentifierTypeStateIssuer
0112030000MedicaidWV
64698426MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1124268560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLLEGE HILL",
            "address_2": "P.O. BOX 380",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613300",
            "telephone_number": "304-235-5225",
            "fax_number": "304-235-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COLLEGE HL",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "256613300",
            "telephone_number": "304-235-5225",
            "fax_number": "304-235-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO P. PAJARILLO, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "PAJARILLO",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "PANTILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-235-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112030000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64698426",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.