PVH Serfontein Office

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21178 Issued in WV

Legal business name

PVH SERFONTEIN OFFICE

Practice address

2418 Jefferson Ave
PT Pleasant, WV 25550-1528

Phone

(304) 675-6835

Fax

(304) 675-6849

NPI assigned

Sep 10, 2009

Organization subpart

Yes

Parent organization

PLEASANT VALLEY HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Thomas E Schauer

Title

Cfo, Vice President of Finance

Phone

(304) 675-4340

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Pleasant Valley Hospital

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1417280355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255500236",
            "telephone_number": "304-675-1020",
            "fax_number": "304-675-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-6835",
            "fax_number": "304-675-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVH SERFONTEIN OFFICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLEASANT VALLEY HOSPITAL",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SCHAUER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO, VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "304-675-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001774",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2548390",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pleasant Valley Nursing and Rehabilitation Center, Inc.
• Pleasant Valley Ophthalmology
• Pleasant Valley Pathology Associates
• Point Clinic PLLC
• Point Pleasant Physician Billing Services
• PVH Serfontein Office
• Stephen Karl Rerych, MD
• James E Riffle, RN
• Robert M Holley MD, Inc
• Jodi Beth Saunders

• Internal Medicine Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.