Individual provider Active NPI

Norman J Montalto, D.O.

  • Family Medicine Physician
  • Charleston, WV
National Provider Identifier
1407958101
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1481 Issued in WV
Practice address
116 Hills PLZ
Charleston, WV 25387-2438
Phone
(304) 720-4466
Fax
(304) 720-4821
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1481 WV Primary

Addresses

Primary practice location

116 Hills PLZ
Charleston, WV 25387-2438

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other practice location 1

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other identifiers 1

IdentifierTypeStateIssuer
0054307000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000570 WV Practitioner - Family Practice 8628003811 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1481WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Women Care Inc Family Medicine CurrentSince Nov 20, 2011 Accepting new patients
Womencare Inc Current Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Womencare, Inc CurrentSince Jun 26, 2011 Accepting new patients
Womencare Inc Current Accepting new patients
Cabin Creek Health Center, Inc. CurrentSince Nov 15, 2021 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
West Virginia University Medical Corporation Family Medicine Past Accepting new patients

Locations

4602 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 205-7535

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

107 Koontz Ave
Ste 200
Clendenin, WV 25045
Phone (304) 548-7272

515 Main St
Madison, WV 25130
Phone (304) 369-0393

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

7133 Sissonville Dr
Sissonville, WV 25320
Phone (304) 984-1576

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1407958101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HILLS PLZ",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872438",
            "telephone_number": "304-720-4466",
            "fax_number": "304-720-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Great Teays Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609816",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALTO",
        "first_name": "NORMAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054307000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.