NPIMap

Organization Active NPI

Suratkal V Shenoy MD PC

  • Surgery Physician
  • Keyser, WV
National Provider Identifier
1659685246
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12745 Issued in WV
Legal business name
SURATKAL V SHENOY MD PC
Practice address
RT 220 South and Staggs Lane
Keyser, WV 26726
Phone
(304) 788-6566
Fax
(301) 786-7050
NPI assigned
Aug 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Authorized official

Name
Dr. Suratkal V Shenoy, MD
Title
General Surgeon
Phone
(304) 788-6566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 12745 WV Primary

Addresses

Primary practice location

RT 220 South and Staggs Lane
Keyser, WV 26726

Mailing address

PO Box 929
Keyser, WV 26726-0929
Phone (304) 788-6566

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": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1659685246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267260929",
            "telephone_number": "304-788-6566",
            "fax_number": "301-786-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 220 SOUTH AND STAGGS LANE",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "26726",
            "telephone_number": "304-788-6566",
            "fax_number": "301-786-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURATKAL V SHENOY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "SHENOY",
        "authorized_official_first_name": "SURATKAL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "304-788-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "12745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; 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.