Active NPI
Raleigh Orthopedic Center PLLC
- Orthopaedic Surgery Physician
- Beckley, WV
National Provider Identifier
1558565978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2232
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul J. Scibetta Jr., DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810014052 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Manchester, NH
- NPI 1093733164
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.