Kanawha Valley Neurology

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

18764 Issued in WV

Legal business name

KANAWHA VALLEY NEUROLOGY

Practice address

3847 Teays Valley Rd
Suite D
Hurricane, WV 25526-9622

Phone

(304) 757-5337

Fax

(304) 757-7537

NPI assigned

Mar 27, 2007

Last updated

Mar 11, 2014By 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

Dr. Sasidharan Taravath, MD

Title

President

Phone

(304) 757-5337

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kanawha Valley Neurology

  dba Beckley Sleep Center

  • Specialist
  • Beckley, WV
  • NPI 1407136385
  NPPES parent name

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1326166463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3847 TEAYS VALLEY ROAD",
            "address_2": "SUITE D",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-757-5337",
            "fax_number": "304-757-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 TEAYS VALLEY RD",
            "address_2": "SUITE D",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269622",
            "telephone_number": "304-757-5337",
            "fax_number": "304-757-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "TARAVATH",
        "authorized_official_first_name": "SASIDHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-757-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "18764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvella June Jones
• Misty Jones
• Sandra Jones
• Shawna Jones, APRN,PMHNP-BC
• Sonya Marie Jones
• Jessica Lynn Keathley, PTA
• Kirstin Keeney
• Gregory Dennis Kelly, DO
• Jodi Kelly, P.T.
• Kerry Lee Kendrick, DDS

• Medical Specialty Clinic/Center in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Medical Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.