Mountainstate Orthopedic Associates, Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MOUNTAINSTATE ORTHOPEDIC ASSOCIATES, INC.

Practice address

200 Orthopedic Way
Morgantown, WV 26505-1240

Phone

(304) 599-0720

Fax

(304) 599-3962

NPI assigned

Feb 28, 2006

Last updated

Apr 29, 2022By 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

Tracey L Sneed

Title

Practice Administrator

Phone

(304) 599-0720

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob M Conjeski, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1942509518
  Medicare reassignment Care Compare group NPD
• Joseph Michael Greschner, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Morgantown, WV
  • NPI 1508397696
  Medicare reassignment Care Compare group NPD
• Chad Joseph Micucci, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1386899664
  Medicare reassignment Care Compare group NPD
• Gregory Joseph Purnell Jr., MD

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1205079837
  Medicare reassignment Care Compare group NPD
• Matthew J. Schessler, M.D.

  • Orthopaedic Hand Surgery Physician
  • Morgantown, WV
  • NPI 1336408590

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Nick L Zervos, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1053388926
  Medicare reassignment Care Compare group NPD
• Jessica Darkowski, PA-C

  • Physician Assistant
  • Morgantown, WV
  • NPI 1487499604
  Medicare reassignment Care Compare group
• Tonya K Miller, NP

  • Family Nurse Practitioner
  • Morgantown, WV
  • NPI 1801816574
  Medicare reassignment Care Compare group
• Christopher James Petrucci, PA-C

  • Physician Assistant
  • Morgantown, WV
  • NPI 1598434649
  Medicare reassignment Care Compare group
• Matthew P Darmelio, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1295701167
  Medicare reassignment NPD
• Chris Vasilakis, M.D.

  • Orthopaedic Surgery Physician
  • Morgantown, WV
  • NPI 1659378081
  Medicare reassignment NPD
• Chad Alan Ford, PA-C

  • Medical Physician Assistant
  • Morgantown, WV
  • NPI 1023565546
  Medicare reassignment

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1659347540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ORTHOPEDIC WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051240",
            "telephone_number": "304-599-0720",
            "fax_number": "304-599-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTATE ORTHOPEDIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "304-599-0720"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010621000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountaineer Orthodontics, PLLC (Drs. Lacy, Weidman & Hazey III)
• Mountaineer Orthopedic Specialists, LLC
• Mountaineer Psychological Services, PLLC
• Mountaineer Vision Center, PLLC
• Mountaineer Wound Care, LLC
• Mountainview Services, LLC (Ellie Mental Health-West Virginia)
• Dawn Moury, MSN, BSN, RN
• Bryan Mouser, MD
• Move Right Physical Therapy LLC (Move Right)
• Deborah Thoren Mowery, MD

• Orthopaedic Surgery Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Orthopaedic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.