NPIMap

Organization Active NPI

Mileground Physicians, PLLC

  • General Practice Physician
  • Morgantown, WV
National Provider Identifier
1457499519
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11609 Issued in WV
Legal business name
MILEGROUND PHYSICIANS, PLLC
Practice address
1526 Mileground Rd
Morgantown, WV 26505-3745
Phone
(304) 292-4996
Fax
(304) 292-9578
NPI assigned
Feb 2, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Norval Leroy Rasmussen, MDNPI 1902800931
Title
Owner
Phone
(304) 292-4996

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
General Practice Physician 208D00000X 11609 WV Primary

Addresses

Primary practice location

1526 Mileground Rd
Morgantown, WV 26505-3745

Mailing address

1526 Mileground Rd
Morgantown, WV 26505-3745
Phone (304) 292-4996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1457499519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 MILEGROUND RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053745",
            "telephone_number": "304-292-4996",
            "fax_number": "304-292-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MILEGROUND RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053745",
            "telephone_number": "304-292-4996",
            "fax_number": "304-292-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILEGROUND PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "NORVAL",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-292-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "11609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.