Individual provider Active NPI

Salah Philip Razzook

  • Surgery Physician
  • Romney, WV
National Provider Identifier
1306932694
Registry record updated May 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
13418 Issued in WV
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

Updated by the provider on May 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
235-913OtherONE NET
0128427000MedicaidWV
060001647OtherRR MEDICARE
335-913OtherONE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000702 WV Practitioner - General SurgeryPractitioner - General Practice 5799811584 Practice locations: Romney, WV

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
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 Home health agency, Romney, WV, CCN 517075
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13418WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.