Organization Active NPI

Kanawha Valley Neurology

  • Specialist
  • Beckley, WV
National Provider Identifier
1407136385
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E49818 Issued in WV
Legal business name
KANAWHA VALLEY NEUROLOGY
Doing business as
BECKLEY SLEEP CENTER
Practice address
70 Brookshire LN
Beckley, WV 25801-6765
Phone
(304) 766-7695
Fax
(304) 766-7698
NPI assigned
Aug 23, 2011
Organization subpart
Yes
Parent organization
KANAWHA VALLEY NEUROLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Sasidharan Taravath, MD
Title
Doctor
Phone
(304) 766-7695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E49818 WV Primary

Addresses

Primary practice location

70 Brookshire LN
Beckley, WV 25801-6765

Mailing address

70 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 766-7695

Other names 1

  • BECKLEY SLEEP CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Kanawha Valley Neurology

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1407136385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-766-7695",
            "fax_number": "304-766-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-766-7695",
            "fax_number": "304-766-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY NEUROLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANAWHA VALLEY NEUROLOGY",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "TARAVATH",
        "authorized_official_first_name": "SASIDHARAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "304-766-7695",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "E49818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BECKLEY SLEEP CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 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.