NPIMap

Organization Active NPI

Sportscare Medical Associates, Inc.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Huntington, WV
National Provider Identifier
1649368291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
20909 Issued in WV
Legal business name
SPORTSCARE MEDICAL ASSOCIATES, INC.
Practice address
320 Lynda CT
Huntington, WV 25703
Phone
(304) 525-5035
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chadley Milton Runyan, MDNPI 1821056680
Title
President
Phone
(304) 525-5035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X 20909 WV Primary

Addresses

Primary practice location

320 Lynda CT
Huntington, WV 25703

Mailing address

PO Box 2165
Huntington, WV 25722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649368291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LYNDA CT",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25703",
            "telephone_number": "304-525-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSCARE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "CHADLEY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-525-5035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "WV",
            "license": "20909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.