Active NPI
Salah Philip Razzook
- Surgery Physician
- Romney, WV
National Provider Identifier
1306932694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 13418
- Practice address
- 97 S Bolton St
Romney, WV 26757-1701 - Phone
- (304) 822-4035
- Fax
- (304) 822-7363
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 13418 | WV | Primary |
Addresses
Primary practice location
97 S Bolton St
Romney, WV 26757-1701
Mailing address
97 S Bolton St
Romney, WV 26757-1701
Phone (304) 822-4035
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235-913 | Other | ONE NET | |
| 0128427000 | Medicaid | WV | |
| 060001647 | Other | RR MEDICARE | |
| 335-913 | Other | ONE NET-MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100331000702 | WV | Practitioner - General Surgery | 5799811584 | Practice locations: Romney, WV |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
97 S Bolton St
Romney, WV 26757-1701
Phone (304) 822-4035
Hospital & facility affiliations
- Valley Health Home Health/West Virginia
- Hampshire Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13418 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Romney, WV
- NPI 1396897203
-
- Home Health Agency
- Romney, WV
- NPI 1871544213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209772800000",
"number": "1306932694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 S BOLTON ST",
"city": "ROMNEY",
"state": "WV",
"postal_code": "267571701",
"telephone_number": "304-822-4035",
"fax_number": "304-822-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 S BOLTON ST",
"city": "ROMNEY",
"state": "WV",
"postal_code": "267571701",
"telephone_number": "304-822-4035",
"fax_number": "304-822-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZZOOK",
"first_name": "SALAH",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2008-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "13418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NET",
"identifier": "235-913",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0128427000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "060001647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NET-MAMSI",
"identifier": "335-913",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Romney, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.