NPIMap

Organization Active NPI

Richard a. Irvin, DO

  • Primary Care Clinic/Center
  • Wheeling, WV
National Provider Identifier
1508339169
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RICHARD A. IRVIN, DO
Practice address
2129 National Rd
Wheeling, WV 26003-5264
Phone
(304) 242-2303
Fax
(304) 242-4231
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Dr. Richard Alan Irvin, DONPI 1083603336
Title
Physician / Owner
Phone
(304) 242-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2129 National Rd
Wheeling, WV 26003-5264

Mailing address

2129 National Rd
Wheeling, WV 26003-5264
Phone (304) 242-2303

Other identifiers 2

IdentifierTypeStateIssuer
0053352001MedicaidWV
2310412MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1508339169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035264",
            "telephone_number": "304-242-2303",
            "fax_number": "304-242-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035264",
            "telephone_number": "304-242-2303",
            "fax_number": "304-242-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. IRVIN, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "304-242-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053352001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2310412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.