Dr L E Syner and Dr W M Wine Assoc in Oral & Maxillofacial Surg Inc,

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

DR L E SYNER AND DR W M WINE ASSOC IN ORAL & MAXILLOFACIAL SURG INC,

Practice address

750 Stanaford Rd
Beckley, WV 25801-8737

Phone

(304) 252-8609

Fax

(304) 253-8870

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Pat Shumate

Title

Office Manager

Phone

(304) 252-8609

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Lawrence E Syner, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1952331357
  NPD (past)
• William M Wine, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1649204405
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1346333168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018737",
            "telephone_number": "304-252-8609",
            "fax_number": "304-253-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258018737",
            "telephone_number": "304-252-8609",
            "fax_number": "304-253-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR L E SYNER AND DR W M WINE ASSOC IN ORAL & MAXILLOFACIAL SURG INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-252-8609",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138270000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138303000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley B Douglas
• Joseph Douglas, DDS
• Justin Wayne Douglas, MD
• Sandra Douglas
• Amy W Dowdy, D.O.
• Dr. Bose S. Mikkilineni, M.D. Facs
• Dr. Joseph M. Duda
• Dr. Rhonda Guy & Associates
• Jennifer Lynn Drake, PA-C
• DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc

• Oral and Maxillofacial Surgery Clinic/Center in Beckley, WV
• Providers in Beckley, WV by specialty
• Oral and Maxillofacial Surgery Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.