Organization Active NPI

Telamon Corporation

  • Counselor
  • Romney, WV
National Provider Identifier
1629248521
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
TELAMON CORPORATION
Practice address
60 W Sioux LN
Romney, WV 26757-1431
Phone
(304) 822-4514
Fax
(304) 822-4515
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. David A Crooke, CPA
Title
Director of Finance
Phone
(919) 239-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

60 W Sioux LN
Romney, WV 26757-1431

Mailing address

3937 Western Blvd
Raleigh, NC 27606-1936
Phone (919) 239-8115

Other identifiers 1

IdentifierTypeStateIssuer
3810001509MedicaidWV

National Provider Directory

National Provider Directory

Locations

60 W Sioux Ln
Romney, WV 26757
Phone (304) 822-4514

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1629248521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 WESTERN BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061936",
            "telephone_number": "919-239-8115",
            "fax_number": "919-851-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W SIOUX LN",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267571431",
            "telephone_number": "304-822-4514",
            "fax_number": "304-822-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELAMON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "CROOKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "919-239-8115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001509",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Romney, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.