Active NPI
Great Teays Podiatry, PLLC
- Podiatrist
- Hurricane, WV
National Provider Identifier
1487816898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00332
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810000605 | Medicaid | WY | |
| 2508058 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Great Teays Podiatry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Hurricane, WV
- NPI 1417109489
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.
-
- Foot & Ankle Surgery Podiatrist
- Hurricane, WV
- NPI 1053303834
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.