John Timothy Runnion, PA.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

249 Issued in WV

Practice address

645 Kanawha Ave
Rainelle, WV 25962-1013

Phone

(304) 438-6188

Fax

(304) 438-6819

NPI assigned

Nov 6, 2007

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Summit BHC West Virginia LLC

  dba Highland Hospital

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD
• Highland Hospital Association

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1497706659
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1467632505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KANAWHA AVE",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621013",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KANAWHA AVE",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621013",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNION",
        "first_name": "JOHN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "PA.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "909",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018844",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Reed
• Tammy Lynn Reichard
• Carolyn Roach
• Justin Ross
• Viola Marie Roush, R.PH.
• Melinda Saunders
• Elizabeth Scarnato
• James David Scott, D.O.
• Sandy Shalaby
• Sharif S Shammaa, PA-C

• Physician Assistant in Rainelle, WV
• Providers in Rainelle, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.