Individual provider Active NPI

Grant Stephen Parkins, D.O.

  • Family Medicine Physician
  • Spencer, WV
National Provider Identifier
1598769424
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1994 Issued in WV
Practice address
200 Hospital Dr
Spencer, WV 25276-1050
Phone
(304) 927-6209
Fax
(304) 927-6837
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co. 65 clinicians

Practice addresses (Care Compare)

1024 Arnoldsburg Rd
Arnoldsburg, WV 25234-7644
Phone (304) 655-6742

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Vienna, WV, CCN 517074
  • Hospicecare, Inc Hospice, Charleston, WV, CCN 511501
  • Roane General Hospital Hospital, Spencer, WV, CCN 511306
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000443 WV Practitioner - Family Practice 3577503077 Reassigns benefits to 1 organization

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Roane General HospitalSpencer, WV, CCN 515099 Skilled nursing facility W-2 Managing Employee Oct 1, 2014
Roane General HospitalWalton, WV, CCN 513417 Rural health clinic W-2 Managing Employee Oct 1, 2014
Hospital Development Co.Spencer, WV, CCN 513408 Rural health clinic W-2 Managing Employee Oct 1, 2014
Southern Roane Medical ClinicLeft Hand, WV, CCN 513409 Rural health clinic W-2 Managing Employee Oct 1, 2014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1994WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Family Medicine CurrentSince Aug 13, 2010 Accepting new patients
Hospital Development Co CurrentSince Aug 13, 2010 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Corporation Past Accepting new patients
Hospital Development Co Past Accepting new patients

Locations

1024 Arnoldsburg Rd
Arnoldsburg, WV 25234
Phone (304) 655-6742

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

300 Hospital Dr
Spencer, WV 25276
Phone (304) 927-6136

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1994 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Hospital Dr
Spencer, WV 25276-1050

Mailing address

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6209

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 9, 2012.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1598769424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6209",
            "fax_number": "304-927-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "SPENCER",
            "state": "WV",
            "postal_code": "252761050",
            "telephone_number": "304-927-6209",
            "fax_number": "304-927-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINS",
        "first_name": "GRANT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, WV

Sources for this page

Verify at the official NPI Registry.