NPIMap

Organization Active NPI

Wythville Management Consultants LLC,

Doing business as Physician Quick Care Plus

  • Specialist
  • Lewisburg, WV
National Provider Identifier
1598756207
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WYTHVILLE MANAGEMENT CONSULTANTS LLC,
Doing business as
Physician Quick Care Plus
Practice address
75 Seneca TRL Ste 8
Greenbrier Valley Mall
Lewisburg, WV 24901-1579
Phone
(304) 647-3434
Fax
(304) 647-9789
NPI assigned
Nov 2, 2005
Last updated
Mar 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Mr. Jim M Matthews
Title
Manager
Phone
(304) 253-5793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

75 Seneca TRL Ste 8
Greenbrier Valley Mall
Lewisburg, WV 24901-1579

Mailing address

PO Box 787
Crab Orchard, WV 25827-0787
Phone (304) 253-5793

Other identifiers 2

IdentifierTypeStateIssuer
0207163000MedicaidWV
DA3056OtherWVRR MCARE

Other names 1

  • PHYSICIAN QUICK CARE PLUS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1598756207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270787",
            "telephone_number": "304-253-5793",
            "fax_number": "304-253-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SENECA TRL STE 8",
            "address_2": "GREENBRIER VALLEY MALL",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011579",
            "telephone_number": "304-647-3434",
            "fax_number": "304-647-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHVILLE MANAGEMENT CONSULTANTS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-253-5793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207163000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "DA3056",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIAN QUICK CARE PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.