Organization Active NPI

Road to Recovery, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Ripley, WV
National Provider Identifier
1316438773
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ROAD TO RECOVERY, LLC
Practice address
111 Court St S
Ripley, WV 25271
Phone
(307) 372-1030
NPI assigned
May 22, 2018
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
S Cales
Title
Manager/Partner
Phone
(304) 372-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

111 Court St S
Ripley, WV 25271

Mailing address

PO Box 190
Ripley, WV 25271-0190
Phone (304) 372-1030

National Provider Directory

National Provider Directory

Locations

111 Court St S
Ripley, WV 25271
Phone (304) 372-1030

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1316438773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252710190",
            "telephone_number": "304-372-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COURT ST S",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "25271",
            "telephone_number": "307-372-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROAD TO RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CALES",
        "authorized_official_first_name": "S",
        "authorized_official_title_or_position": "MANAGER/PARTNER",
        "authorized_official_telephone_number": "304-372-1030"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.