Organization Active NPI

Frank a Scattaregia MD LTD

  • Internal Medicine Physician
  • Weston, WV
National Provider Identifier
1306162656
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FRANK A SCATTAREGIA MD LTD
Practice address
786 1/2 W 2ND St
Weston, WV 26452-1765
Phone
(304) 269-3890
Fax
(304) 269-7953
NPI assigned
Apr 12, 2010
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Dr. Frank A Scattaregia, MDNPI 1356331193
Title
President
Phone
(304) 269-3890

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

786 1/2 W 2ND St
Weston, WV 26452-1765

Mailing address

786 1/2 W 2ND St
Weston, WV 26452-1765
Phone (304) 269-3890

Other identifiers 1

IdentifierTypeStateIssuer
0082885000MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000005 WV Part B Supplier - Clinic/Group Practice 4789711441 Receives reassigned benefits from 1 practitioner
Practice locations: Weston, WV

National Provider Directory

National Provider Directory

Locations

786 W 2nd St
Weston, WV 26452
Phone (304) 269-3890

Practitioners & affiliated clinicians

Practitioners 1

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": "1271030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1306162656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 1/2 W 2ND ST",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521765",
            "telephone_number": "304-269-3890",
            "fax_number": "304-269-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 1/2 W 2ND ST",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264521765",
            "telephone_number": "304-269-3890",
            "fax_number": "304-269-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK A SCATTAREGIA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "SCATTAREGIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-269-3890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082885000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.