Organization Active NPI

Teays Urgent Care, PLLC

  • Family Medicine Physician
  • Hurricane, WV
National Provider Identifier
1659526986
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22493 Issued in WV
Legal business name
TEAYS URGENT CARE, PLLC
Practice address
113 Liberty Square Shopping Center
Hurricane, WV 25526
Phone
(304) 552-7414
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Mohamad S Kalou, M.D.
Title
Owner
Phone
(304) 552-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 22493 WV Primary

Addresses

Primary practice location

113 Liberty Square Shopping Center
Hurricane, WV 25526

Mailing address

113 Liberty Square Shopping Center
Hurricane, WV 25526
Phone (304) 552-7414

National Provider Directory

National Provider Directory

Locations

113 Liberty Sq
Hurricane, WV 25526
Phone (304) 552-7414

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1659526986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LIBERTY SQUARE SHOPPING CENTER",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-552-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIBERTY SQUARE SHOPPING CENTER",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-552-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAYS URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "KALOU",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-552-4712",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "22493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.