Ohio Valley Colon and Rectal Surgeons PLLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

OHIO VALLEY COLON AND RECTAL SURGEONS PLLC

Practice address

76 Sixteenth Street
Suite 100
Wheeling, WV 26003-3660

Phone

(304) 238-0212

Fax

(304) 238-0215

NPI assigned

May 1, 2007

Last updated

Apr 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Steven Wiley, MDNPI 1780735464

Title

Practice Owner

Phone

(304) 238-0212

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Kim Steven Wiley, MD

  • Colon & Rectal Surgery Physician
  • Wheeling, WV
  • NPI 1780735464
  Authorized official Same address or phone
• Chelsea W Hewitt, PA

  • Physician Assistant
  • Wheeling, WV
  • NPI 1003046780
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1285855254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6493",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-238-0212",
            "fax_number": "304-238-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SIXTEENTH STREET",
            "address_2": "SUITE 100",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033660",
            "telephone_number": "304-238-0212",
            "fax_number": "304-238-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY COLON AND RECTAL SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "304-238-0212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2289867",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806640000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Anne Ogrady, CRNA
• Ohio County Board of Education
• Ohio County Board of Education
• Ohio County Commission
• Ohio Valley Asthma & Allergy Institute Inc
• Ohio Valley Counseling Services
• Ohio Valley Dermatology Associates
• Ohio Valley Guidance Services LLC
• Ohio Valley Medical Center (OVMC Physicians Assistants)
• Ohio Valley Medical Center - Uha

• Colon & Rectal Surgery Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Colon & Rectal Surgery Physician in West Virginia

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