Organization Active NPI

Raleigh Orthopedic Center PLLC

  • Orthopaedic Surgery Physician
  • Beckley, WV
National Provider Identifier
1558565978
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2232 Issued in WV
Legal business name
RALEIGH ORTHOPEDIC CENTER PLLC
Practice address
1007 S Oakwood Ave
Suite 102
Beckley, WV 25801-5935
Phone
(304) 255-3150
Fax
(304) 255-3151
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Paul J. Scibetta Jr., DONPI 1093733164
Title
Owner
Phone
(304) 255-3150

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 2232 WV Primary

Addresses

Primary practice location

1007 S Oakwood Ave
Suite 102
Beckley, WV 25801-5935

Mailing address

PO Box 810
White Sulphur Springs, WV 24986-0810
Phone (304) 536-5030

Other identifiers 1

IdentifierTypeStateIssuer
3810014052MedicaidWV

National Provider Directory

National Provider Directory

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1558565978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860810",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S OAKWOOD AVE",
            "address_2": "SUITE 102",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015935",
            "telephone_number": "304-255-3150",
            "fax_number": "304-255-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH ORTHOPEDIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SCIBETTA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-255-3150",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "2232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014052",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.