NPIMap

Organization Active NPI

Beckley Area Surgical Associates PLLC

  • Surgery Physician
  • Beckley, WV
National Provider Identifier
1265481220
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BECKLEY AREA SURGICAL ASSOCIATES PLLC
Practice address
230 George St
Suite 2
Beckley, WV 25801-2620
Phone
(304) 256-0770
Fax
(304) 256-0772
NPI assigned
May 8, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Scott Matthew Killmer, MDNPI 1831196542
Title
Owner
Phone
(304) 256-0770

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X WV Primary

Addresses

Primary practice location

230 George St
Suite 2
Beckley, WV 25801-2620

Mailing address

230 George St
Suite 2
Beckley, WV 25801-2620
Phone (304) 256-0770

Other identifiers 1

IdentifierTypeStateIssuer
001711081OtherWVBCBS

National Provider Directory

National Provider Directory

Locations

L2667
Columbus, OH 43260

230 George St
Ste 2
Beckley, WV 25801
Phone (304) 255-2878

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1265481220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012620",
            "telephone_number": "304-256-0770",
            "fax_number": "304-256-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012620",
            "telephone_number": "304-256-0770",
            "fax_number": "304-256-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKLEY AREA SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "KILLMER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-256-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001711081",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.