NPIMap

Organization Active NPI

Valeo Medical, PLLC

  • Urgent Care Clinic/Center
  • New Martinsville, WV
National Provider Identifier
1407180888
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
99GQ3 Issued in WV
Legal business name
VALEO MEDICAL, PLLC
Practice address
260 Russell Ave
260 Russell Ave
New Martinsville, WV 26155-1571
Phone
(304) 398-4949
Fax
(304) 398-4952
NPI assigned
Oct 1, 2009
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dr. Gregory Evan Krause, MDNPI 1588625974
Title
Owner
Phone
(304) 916-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 99GQ3 WV Primary

Addresses

Primary practice location

260 Russell Ave
260 Russell Ave
New Martinsville, WV 26155-1571

Mailing address

800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone (304) 916-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100114000388 WV Part B Supplier - Clinic/Group Practice 5597806471 Receives reassigned benefits from 36 practitioners
Practice locations: Fairmont, WV; Moorefield, WV; New Martinsville, WV

National Provider Directory

National Provider Directory

Locations

16728 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 382-1224

747 N Main St
Moorefield, WV 26836

800 Grand Central Mall
Ste 11
Vienna, WV 26105
Phone (304) 424-4150

324 Penco Rd
#B
Weirton, WV 26062
Phone (304) 224-1096

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1407180888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 RUSSELL AVE",
            "address_2": "260 RUSSELL AVE",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551571",
            "telephone_number": "304-398-4949",
            "fax_number": "304-398-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALEO MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-916-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": "99GQ3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.