Active NPI
Russell Biundo MD Inc
- Physical Medicine & Rehabilitation Physician
- Morgantown, WV
National Provider Identifier
1174584353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- RUSSELL BIUNDO MD INC
- Practice address
- 1160 Van Voorhis Rd
Morgantown, WV 26505-3437 - Phone
- (304) 598-1122
- Fax
- (304) 598-1124
- NPI assigned
- Mar 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell Biundo, MD
- Title
- President
- Phone
- (304) 598-1122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | WV | Primary |
Addresses
Primary practice location
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Mailing address
1160 Van Voorhis Rd
Morgantown, WV 26505-3437
Phone (304) 598-1122
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784081100 | Other | MD | MARYLAND MEDICAID |
| 0016737660001 | Other | PA | PENNSYLVANIA MEDICAID |
| 1424801 | Other | UMWA | |
| 198177 | Other | FEDERAL BLACK LUNG | |
| 001707270 | Other | MT STATE BLUE CROSS BLUE | |
| CG6938 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1160 Van Voorhis Rd
Ste 110
Morgantown, WV 26505
1160 Van Voorhis Rd
Rm 110
Morgantown, WV 26505
63 Wharf St
Ste 75
Morgantown, WV 26501
Phone (304) 296-4767
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Morgantown, WV
- NPI 1003877846
-
- Family Medicine Physician
- Grafton, WV
- NPI 1033167630
-
- Spinal Cord Injury Medicine Physician
- Lexington, KY
- NPI 1093776841
Physical Medicine & Rehabilitation
-
- Medical Physician Assistant
- Charleston, SC
- NPI 1295704906
-
- Physical Medicine & Rehabilitation Physician
- Cincinnati, OH
- NPI 1083613145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348185600000",
"number": "1174584353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053437",
"telephone_number": "304-598-1122",
"fax_number": "304-598-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VAN VOORHIS RD",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265053437",
"telephone_number": "304-598-1122",
"fax_number": "304-598-1124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELL BIUNDO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2012-09-21",
"status": "A",
"authorized_official_last_name": "BIUNDO",
"authorized_official_first_name": "RUSSELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-598-1122",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND MEDICAID",
"identifier": "784081100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA MEDICAID",
"identifier": "0016737660001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1424801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "198177",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT STATE BLUE CROSS BLUE",
"identifier": "001707270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG6938",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.