Bennett D Orvik, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11386 Issued in WV

Practice address

25 Garton PLZ
Weston, WV 26452-2128

Phone

(304) 269-6620

Fax

(304) 269-4593

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• 8 Rose Street Operations LLC

  • Skilled Nursing Facility
  • Grafton, WV
  • NPI 1851575047

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Sunbridge Salem Health Care LLC

  • Skilled Nursing Facility
  • Salem, WV
  • NPI 1669429197

  Adp of the SNF

  CMS ownership

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.

• 8 Rose Street Operations LLC

  • Skilled Nursing Facility
  • Grafton, WV
  • NPI 1851575047
  NPD (past)
• Glenville SNF Operations LLC

  • Skilled Nursing Facility
  • Glenville, WV
  • NPI 1073290698
  NPD (past)
• Lewis County Board of Health

  • Public Health or Welfare Agency
  • Weston, WV
  • NPI 1245327709
  NPD (past)
• Sunbridge Salem Health Care LLC

  • Skilled Nursing Facility
  • Salem, WV
  • NPI 1669429197
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1467458778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-269-6620",
            "fax_number": "304-269-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GARTON PLZ",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264522128",
            "telephone_number": "304-269-6620",
            "fax_number": "304-269-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORVIK",
        "first_name": "BENNETT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055675000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cierrah R Nicholson
• Florence Nicholson
• Kameron Rylie Nicholson
• Kimberly Joan Nicholson, PTA/LMT
• Melinda Joyce Orrahood, PAC
• Melissa Parker
• Joy Parks, MD
• Caroline Parrish, MOT
• Kelly Parsons, PHARM-D
• Maddysen Parsons

• Family Medicine Physician in Weston, WV
• Providers in Weston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.