Organization Active NPI

McGrew Orthopedic, LLC

  • Prosthetic/Orthotic Supplier
  • Charleston, WV
National Provider Identifier
1174848485
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MCGREW ORTHOPEDIC, LLC
Practice address
1301 Washington Street W
Charleston, WV 25302-1909
Phone
(304) 345-0430
Fax
(304) 345-0432
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Randy McGrew
Title
Owner
Phone
(304) 345-0431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1301 Washington Street W
Charleston, WV 25302-1909

Mailing address

1301 Washington Street W
Charleston, WV 25302-1909
Phone (304) 345-0430

National Provider Directory

National Provider Directory

Locations

1301 Washington St W
Charleston, WV 25302
Phone (304) 345-0430

132 Goff Mountain Rd
Ste 4
Cross Lanes, WV 25313
Phone (304) 776-3754

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1174848485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WASHINGTON STREET W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021909",
            "telephone_number": "304-345-0430",
            "fax_number": "304-345-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WASHINGTON STREET W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253021909",
            "telephone_number": "304-345-0430",
            "fax_number": "304-345-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGREW ORTHOPEDIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-345-0431"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 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.

Verify at the official NPI Registry.