Parkersburg Surgical Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PARKERSBURG SURGICAL ASSOCIATES, PLLC

Practice address

800 Grand Central Mall
Suite 2
Vienna, WV 26105-4131

Phone

(304) 865-4345

Fax

(304) 420-5995

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Kevin Koch, M.D.

Title

Partner

Phone

(304) 865-4345

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1548285117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 2",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054131",
            "telephone_number": "304-865-4345",
            "fax_number": "304-420-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL",
            "address_2": "SUITE 2",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054131",
            "telephone_number": "304-865-4345",
            "fax_number": "304-420-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "304-865-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011154000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV COMP",
            "identifier": "1043080",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005186653",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9298571",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197448",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001707362",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Malee Palmateer, PA-C
• Katie Palmer, OD
• Pamela J Parker, FNP-BC
• Parkersburg Infectious Disease PLLC
• Parkersburg Radiology, LLC
• Stephanie Parsons
• Prakash Maganbhai Patel, M.D
• Priya Patel, DPT
• Halley Patterson
• Natosha Patterson

• Surgery Physician in Vienna, WV
• Providers in Vienna, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.