Relymd Medical Group WV, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RELYMD MEDICAL GROUP WV, PLLC

Practice address

1627 Quarrier St
Charleston, WV 25311-2124

Phone

(855) 955-0948

NPI assigned

Aug 28, 2020

Organization subpart

Yes

Parent organization

RELYMD MEDICAL GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Ronald Michael Creatore

Title

Cfo/General Counsel

Phone

(919) 932-0928

Specialties & licenses 1

Addresses

Other names 1

• RelyMD Medical Group Doing business as

Part of

Relymd Medical Group LLC

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1356954259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MEADOWMONT VILLAGE CIR STE 323",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177584",
            "telephone_number": "919-932-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112124",
            "telephone_number": "855-955-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYMD MEDICAL GROUP WV, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELYMD MEDICAL GROUP, LLC",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "CREATORE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO/GENERAL COUNSEL",
        "authorized_official_telephone_number": "919-932-0928"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelyMD Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RelyMD Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ann Reinacher, CRNA
• Heather Lynn Reinert
• Shawn David Reinert, D.O.
• Brittany Reinking
• Christopher Reitter
• Rem West Virginia, LLC
• Kathy Remley
• Helen Ruiz Remolona, MD
• Nathan M Remolona, M.D.
• Robert Nicholas Remy II, DO

• Family Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.