Organization Active NPI

Prakash Puranik PLLC

  • Obstetrics & Gynecology Physician
  • Beckley, WV
National Provider Identifier
1356513311
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PRAKASH PURANIK PLLC
Practice address
250 Stanaford Rd
Suite One
Beckley, WV 25801-3140
Phone
(304) 253-5793
Fax
(304) 253-0166
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Geneva L Lynch
Title
Office Manager
Phone
(304) 253-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

250 Stanaford Rd
Suite One
Beckley, WV 25801-3140

Mailing address

PO Box 787
Crab Orchard, WV 25827-0787
Phone (304) 253-5793

Other identifiers 1

IdentifierTypeStateIssuer
3810002569MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1356513311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270787",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STANAFORD RD",
            "address_2": "SUITE ONE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013140",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH PURANIK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-253-5793",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002569",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.