Organization Active NPI

Orthoniks PLLC

  • Orthopaedic Surgery Physician
  • Fairmont, WV
National Provider Identifier
1689621740
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHONIKS PLLC
Practice address
1228 Country Club Rd
Fairmont, WV 26554-2369
Phone
(304) 368-5200
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nikolaj Wolfson, MDNPI 1144270612
Title
Owner
Phone
(304) 368-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1228 Country Club Rd
Fairmont, WV 26554-2369

Mailing address

202 Newberry LN
Morgantown, WV 26505-1078
Phone (304) 598-2211

Other identifiers 1

IdentifierTypeStateIssuer
1811121000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1228 Country Club Rd
Ste 100
Fairmont, WV 26554
Phone (304) 366-4022

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689621740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NEWBERRY LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051078",
            "telephone_number": "304-598-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 COUNTRY CLUB RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542369",
            "telephone_number": "304-368-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHONIKS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "NIKOLAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-368-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811121000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.