NPIMap

Organization Active NPI

Valley Internal Medicine,Inc

  • Cardiovascular Disease Physician
  • Wintersville, OH
National Provider Identifier
1194885236
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VALLEY INTERNAL MEDICINE,INC
Practice address
100 Welday Ave
Wintersville, OH 43953-3779
Phone
(740) 264-5770
Fax
(740) 264-5780
NPI assigned
Dec 11, 2006
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Atul P Shah, MDNPI 1851406227
Title
President
Phone
(740) 264-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

100 Welday Ave
Wintersville, OH 43953-3779

Mailing address

PO Box 3169
Weirton, WV 26062-7169
Phone (740) 264-5770

Other identifiers 3

IdentifierTypeStateIssuer
001708262OtherWVMOUNTAIN STATE BLUE SHIEL
2559066MedicaidOH
3810004880MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1194885236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3169",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260627169",
            "telephone_number": "740-264-5770",
            "fax_number": "740-264-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELDAY AVE",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533779",
            "telephone_number": "740-264-5770",
            "fax_number": "740-264-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERNAL MEDICINE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-264-5770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BLUE SHIEL",
            "identifier": "001708262",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2559066",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004880",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.