Organization Active NPI

RWV Techsolutions LLC

  • Family Medicine Physician
  • Mill Creek, WV
National Provider Identifier
1356152813
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RWV TECHSOLUTIONS LLC
Doing business as
RWV Techsolutions LLC
Practice address
112 Woody Simmons Dr
Mill Creek, WV 26280-0004
Phone
(304) 510-8113
Fax
(304) 313-4520
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Mr. Robert Demotto Jr.
Title
Facility Owner
Phone
(304) 510-8113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

112 Woody Simmons Dr
Mill Creek, WV 26280-0004

Mailing address

PO Box 4
Mill Creek, WV 26280-0004
Phone (304) 510-8113

Other names 1

  • RWV Techsolutions LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1356152813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800004",
            "telephone_number": "304-510-8113",
            "fax_number": "304-313-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WOODY SIMMONS DR",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800004",
            "telephone_number": "304-510-8113",
            "fax_number": "304-313-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWV TECHSOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "DEMOTTO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FACILITY OWNER",
        "authorized_official_telephone_number": "304-510-8113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RWV Techsolutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Creek, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.