Pleasant Valley Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1102 Issued in WV

Legal business name

PLEASANT VALLEY EMERGENCY PHYSICIANS

Practice address

2520 Valley Dr
PT Pleasant, WV 25550

Phone

(304) 675-4340

Fax

(304) 675-1328

NPI assigned

Sep 21, 2006

Last updated

May 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin A Payne

Title

Credentialling Specialist

Phone

(304) 675-4340

Specialties & licenses 5

Addresses

Other identifiers 3

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1609975333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255502031",
            "telephone_number": "304-675-4340",
            "fax_number": "304-675-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-4340",
            "fax_number": "304-675-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALLING SPECIALIST",
        "authorized_official_telephone_number": "304-675-4340"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "945",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1441",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "905",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "18261",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001710511",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009656000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn D McIntyre
• Tedi Jolene Melvin
• Michael Corbin M.D Inc (Comprehensive Womens Care)
• Breton L Morgan, MD
• Christa Perroud, CNP
• Pleasant Valley Hospital (Pleasant Valley Private Duty)
• Pleasant Valley Hospital, Inc. (Rivers Health)
• Pleasant Valley Hospital, Inc. (Rivers Health)
• Pleasant Valley Nursing and Rehabilitation Center, Inc. (Pleasant Valley Nurse Care Cen)
• Pleasant Valley Ophthalmology

• Emergency Medicine Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.