Organization Active NPI

Crab Orchard Medical Assoc. Inc.

  • Physical Medicine & Rehabilitation Physician
  • Crab Orchard, WV
National Provider Identifier
1184705907
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CRAB ORCHARD MEDICAL ASSOC. INC.
Practice address
1769 Robert C Byrd Dr
Crab Orchard, WV 25827-1602
Phone
(304) 253-8336
Fax
(304) 253-8337
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Mariza A Lirio, M.D.NPI 1053414268
Title
Vice President
Phone
(304) 253-8336

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X

Addresses

Primary practice location

1769 Robert C Byrd Dr
Crab Orchard, WV 25827-1602

Mailing address

PO Box 1602
Crab Orchard, WV 25827-1602
Phone (304) 253-8336

National Provider Directory

National Provider Directory

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184705907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1602",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258271602",
            "telephone_number": "304-253-8336",
            "fax_number": "304-253-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 ROBERT C BYRD DR",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258271602",
            "telephone_number": "304-253-8336",
            "fax_number": "304-253-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAB ORCHARD MEDICAL ASSOC. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LIRIO",
        "authorized_official_first_name": "MARIZA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-253-8336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crab Orchard, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.