Individual provider Active NPI

Joseph A Noronha, MD

  • Surgery Physician
  • Elkins, WV
National Provider Identifier
1649357765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
09786 Issued in WV
Practice address
26 Cherry St
Elkins, WV 26241-4005
Phone
(304) 636-3488
Fax
(304) 636-8811
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 09786 WV Primary

Addresses

Primary practice location

26 Cherry St
Elkins, WV 26241-4005

Mailing address

PO Box 2225
Elkins, WV 26241-2225
Phone (304) 636-3488

Other identifiers 1

IdentifierTypeStateIssuer
0127644000MedicaidWV

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09786WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Care, Inc Past Accepting new patients
Appalachian Community Health Center Past Accepting new patients
Appalachian Community Health Center Past Accepting new patients
Appalachian Community Health Center Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649357765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2225",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262412225",
            "telephone_number": "304-636-3488",
            "fax_number": "304-636-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHERRY ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262414005",
            "telephone_number": "304-636-3488",
            "fax_number": "304-636-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORONHA",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "09786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127644000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, 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.

Verify at the official NPI Registry.