Organization Active NPI

PVH Serfontein Office

  • Internal Medicine Physician
  • PT Pleasant, WV
National Provider Identifier
1659508489
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21778 Issued in WV
Legal business name
PVH SERFONTEIN OFFICE
Practice address
2513 Jefferson Ave
PT Pleasant, WV 25550-1529
Phone
(304) 675-6835
Fax
(304) 675-6849
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Mr. Thomas E Schauer
Title
Cfo, VP of Finance
Phone
(304) 675-4340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 21778 WV Primary

Addresses

Primary practice location

2513 Jefferson Ave
PT Pleasant, WV 25550-1529

Mailing address

2520 Valley Dr
PT Pleasant, WV 25550-2031
Phone (304) 675-4340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1659508489",
    "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": "304-675-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501529",
            "telephone_number": "304-675-6835",
            "fax_number": "304-675-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PVH SERFONTEIN OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHAUER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO, VP OF FINANCE",
        "authorized_official_telephone_number": "304-675-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "21778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in PT Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.