Saint Albans Integrative Health Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18688 Issued in WV

Legal business name

SAINT ALBANS INTEGRATIVE HEALTH CENTER INC

Practice address

201 6TH Ave
Saint Albans, WV 25177-2836

Phone

(304) 201-3600

Fax

(304) 201-2368

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Rudolph Michael Kevak Jr., M.D.NPI 1932108206

Title

President

Phone

(304) 201-3600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudolph Michael Kevak, MD

  • Internal Medicine Physician
  • Saint Albans, WV
  • NPI 1932108206
  NPD (past) Authorized official

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1326328006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 6TH AVE",
            "address_2": "PO BOX 552",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772836",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 6TH AVE",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772836",
            "telephone_number": "304-201-3600",
            "fax_number": "304-201-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALBANS INTEGRATIVE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "KEVAK",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-201-3600",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Ryan
• Savanna Ryder
• Treasa Ann Ryder
• Lagrimas Babiera Sadorra, MD
• Safe Haven Care Services, LLC
• Latisha Salmons
• Amon L Samples, R.PH.
• Christina Loretta Samples
• Melissa Dawn Sampson, RN
• Maxine Saunders

• Internal Medicine Physician in Saint Albans, WV
• Providers in Saint Albans, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.