NPIMap

Organization Active NPI

Mountain Pride Orthopaedics

  • Orthopaedic Surgery Physician
  • Charleston, WV
National Provider Identifier
1144430802
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
18234 Issued in WV
Legal business name
MOUNTAIN PRIDE ORTHOPAEDICS
Practice address
500 Poplar St
Suite 303
Charleston, WV 25309-1474
Phone
(304) 766-7374
Fax
(304) 766-9690
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Mr. Bruce F Haupt, MDNPI 1063581833
Title
Owner
Phone
(304) 744-2300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 18234 WV Primary

Addresses

Primary practice location

500 Poplar St
Suite 303
Charleston, WV 25309-1474

Mailing address

500 Poplar St
Suite 303
Charleston, WV 25309-1474
Phone (304) 766-7374

Other identifiers 1

IdentifierTypeStateIssuer
0098202000MedicaidWV

National Provider Directory

National Provider Directory

Locations

500 Poplar St
Ste 303
South Charleston, WV 25309
Phone (304) 766-7374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1144430802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST",
            "address_2": "SUITE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091474",
            "telephone_number": "304-766-7374",
            "fax_number": "304-766-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 POPLAR ST",
            "address_2": "SUITE 303",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253091474",
            "telephone_number": "304-766-7374",
            "fax_number": "304-766-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PRIDE ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "HAUPT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-744-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "18234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098202000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.