Organization Active NPI

River Valley Medicine and Pediatrics Inc.

  • Internal Medicine Physician
  • Parkersburg, WV
National Provider Identifier
1225095995
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIVER VALLEY MEDICINE AND PEDIATRICS INC.
Practice address
2012 Garfield Ave
Parkersburg, WV 26101-2539
Phone
(304) 893-9090
NPI assigned
Apr 27, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Orton C Armstrong, M.D.NPI 1871550947
Title
Partner
Phone
(304) 424-4650

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

2012 Garfield Ave
Parkersburg, WV 26101-2539

Mailing address

2012 Garfield Ave
Parkersburg, WV 26101-2539
Phone (304) 893-9090

Other practice location 1

600 18th St
Suite 404
Parkersburg, WV 26101-3231
Phone (304) 424-4650

Other identifiers 2

IdentifierTypeStateIssuer
0206669000MedicaidWV
2365980MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000928 WV Part B Supplier - Clinic/Group Practice 0840225835 Receives reassigned benefits from 5 practitioners
Practice locations: Parkersburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D0974121River Valley Medicine & Pediatrics Inc2012 Garfield Avenue Suite 2, Parkersburg, WV 26101Provider-performed microscopyMay 29, 2028
51D2024830Medicine & Pediatrics PLLC2012 Garfield Avenue Suite 2, Parkersburg, WV 26101Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

2012 Garfield Ave
Parkersburg, WV 26101
Phone (304) 865-5535

2012 Garfield Ave
#B
Parkersburg, WV 26101
Phone (304) 893-9090

2012 Garfield Ave
Ste 2
Parkersburg, WV 26101
Phone (304) 424-4650

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1225095995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-893-9090",
            "fax_number": "304-422-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012539",
            "telephone_number": "304-893-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 18th St",
            "address_2": "SUITE 404",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261013231",
            "country_code": "US",
            "telephone_number": "304-424-4650",
            "fax_number": "304-424-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVER VALLEY MEDICINE AND PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "ORTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-424-4650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206669000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2365980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.