Active NPI
Walter Everett Dial, MD
- Medical Specialty Clinic/Center
- Madison, WV
National Provider Identifier
1609936574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Practice address
- 701 Madison Ave
Madison, WV 25130-1669 - Phone
- (304) 307-6070
- Fax
- (304) 307-6071
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
701 Madison Ave
Madison, WV 25130-1669
Mailing address
50B State Route 10
Ranger, WV 25557-9712
Phone (304) 369-1549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Point Pleasant Physician Billing Services | Past | Accepting new patients | |
| National Emergency Services West Virginia Inc | Past | Accepting new patients | |
| Logan General Hospital LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Podiatrist
- Logan, WV
- NPI 1720032105
-
- Emergency Medicine Physician
- Petersburg, WV
- NPI 1528480712
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609936574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50B STATE ROUTE 10",
"city": "RANGER",
"state": "WV",
"postal_code": "255579712",
"telephone_number": "304-369-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 MADISON AVE",
"city": "MADISON",
"state": "WV",
"postal_code": "251301669",
"telephone_number": "304-307-6070",
"fax_number": "304-307-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAL",
"first_name": "WALTER",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.