Greenbrier Valley ENT PLLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

GREENBRIER VALLEY ENT PLLC

Practice address

118 Taylor LN
Ronceverte, WV 24970-1337

Phone

(304) 520-4991

NPI assigned

Nov 15, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Lee White, D.O.NPI 1306817689

Title

Owner Physician

Phone

(304) 645-0870

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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.

• Christopher L White, DO

  • Otolaryngology Physician
  • Lewisburg, WV
  • NPI 1306817689

  Facial Plastic Surgery

  NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1467524082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249010902",
            "telephone_number": "304-520-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 TAYLOR LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701337",
            "telephone_number": "304-520-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Dawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019302",
            "country_code": "US",
            "telephone_number": "304-645-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Dawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019302",
            "country_code": "US",
            "telephone_number": "304-645-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENBRIER VALLEY ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "304-645-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICK STREET W/COMP",
            "identifier": "1071033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7786898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS",
            "identifier": "1306817689",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN ST BCBS",
            "identifier": "001916386",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129458",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "611994100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenbrier Physicians, Inc
• Greenbrier Physicians, Inc.
• Greenbrier Physicians, Inc. Optical Shop
• Greenbrier Valley Anesthesia LLC
• Greenbrier Valley Emergency Physicians LLC
• Greenbrier Valley Physical Therapy, LLC
• Greenbrier Valley Urology Associates, Inc
• Greenbrier VMC LLC
• Greenbrier VMC LLC (Greenbrier Valley Medical Center)
• Greenbrier VMC LLC (Greenbrier Valley Medical Center)

• Facial Plastic Surgery Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Facial Plastic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.