Organization Active NPI

Great Teays Podiatry, PLLC

  • Podiatrist
  • Hurricane, WV
National Provider Identifier
1487816898
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00332 Issued in KY
Legal business name
GREAT TEAYS PODIATRY, PLLC
Practice address
3701 Teays Valley Rd Ste a
Hurricane, WV 25526-9645
Phone
(304) 201-1240
Fax
(606) 324-0059
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Setrh Stinehour, DPM
Title
Owner
Phone
(304) 201-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 00332 KY Primary

Addresses

Primary practice location

3701 Teays Valley Rd Ste a
Hurricane, WV 25526-9645

Mailing address

3701 Teays Valley Rd Ste a
Hurricane, WV 25526-9645
Phone (304) 201-1240

Other identifiers 2

IdentifierTypeStateIssuer
3810000605MedicaidWY
2508058MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Great Teays Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3701 Teays Valley Rd
Ste A
Hurricane, WV 25526
Phone (304) 201-1240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1487816898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 TEAYS VALLEY RD STE A",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-201-1240",
            "fax_number": "606-324-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 TEAYS VALLEY RD STE A",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-201-1240",
            "fax_number": "606-324-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT TEAYS PODIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "STINEHOUR",
        "authorized_official_first_name": "SETRH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-201-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000605",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2508058",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.