NPIMap

Organization Active NPI

Mid-Atlantic Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Hurricane, WV
National Provider Identifier
1144248907
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC
Practice address
1400 Hospital Dr
Hurricane, WV 25526-9202
Phone
(304) 720-8816
Fax
(904) 494-6467
NPI assigned
Jul 18, 2006
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Kenneth F. McNeil, M.D.NPI 1497784268
Title
Managing Member
Phone
(304) 720-8816

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

1400 Hospital Dr
Hurricane, WV 25526-9202

Mailing address

PO Box 3466
Charleston, WV 25334-3466
Phone (304) 720-8816

Other practice location 1

1322 Pineview Dr
Morgantown, WV 26505-0710
Phone (304) 720-8816

Other practice location 2

800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 720-8816

Other practice location 3

1201 Washington St E
Charleston, WV 25301-1834
Phone (304) 720-8816

Other practice location 4

3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 720-8816

Other practice location 5

501 Morris St
Charleston, WV 25301-1326
Phone (304) 720-8816

Other practice location 6

2000 Mon Health Medical Park Dr Ste 2001
Morgantown, WV 26505-1167
Phone (304) 720-8816

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031121000450 WV Part B Supplier - Clinic/Group Practice 1951205996 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
Practice locations: Charleston, WV; Morgantown, WV; Hurricane, WV

National Provider Directory

National Provider Directory

Locations

301 Central Ave
Ste A
Egg Hbr Twp, NJ 08234
Phone (609) 653-9000

L3748
Columbus, OH 43260

2000 Mon Health Medical Park Dr
Ste 2001
Morgantown, WV 26505
Phone (681) 214-5399

100 Peyton Way
Ste 200
South Charleston, WV 25309
Phone (904) 638-6147

Practitioners & affiliated clinicians

Practitioners 105

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.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1144248907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253343466",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269202",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 Pineview Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265050710",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023351",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Washington St E",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011834",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041227",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Mon Health Medical Park Dr Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265051167",
            "country_code": "US",
            "telephone_number": "304-720-8816",
            "fax_number": "904-494-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-ATLANTIC ANESTHESIA CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-720-8816",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.