Organization Active NPI

Steve Scott Melek

Doing business as Williamson Foot Clinic

  • Podiatrist
  • Logan, WV
National Provider Identifier
1659552958
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
269 Issued in WV
Legal business name
STEVE SCOTT MELEK
Doing business as
Williamson Foot Clinic
Practice address
17 Main Ave
Professional Building
Logan, WV 25601-3332
Phone
(304) 752-3338
Fax
(304) 752-0194
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Steve Scott Melek
Title
Owner
Phone
(304) 752-3338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X 269 WV Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 269 WV

Addresses

Primary practice location

17 Main Ave
Professional Building
Logan, WV 25601-3332

Mailing address

PO Box 1350
Chapmanville, WV 25508-1350
Phone (304) 752-3338

Other identifiers 1

IdentifierTypeStateIssuer
0099710000MedicaidWV

Other names 1

  • Williamson Foot Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

5372 Big Tyler Rd
Cross Lanes, WV 25313
Phone (304) 752-3338

17 Main Ave
Logan, WV 25601
Phone (304) 752-3338

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1659552958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255081350",
            "telephone_number": "304-752-3338",
            "fax_number": "304-752-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN AVE",
            "address_2": "PROFESSIONAL BUILDING",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013332",
            "telephone_number": "304-752-3338",
            "fax_number": "304-752-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE SCOTT MELEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MELEK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-752-3338"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "269",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WV",
            "license": "269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099710000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamson Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.