Individual provider Active NPI

William A Merva, MD

  • Neurology Physician
  • Princeton, WV
National Provider Identifier
1689636821
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
14198 Issued in WV
Practice address
508 New Hope Rd Ste 7
Princeton, WV 24740-2265
Phone
(304) 431-7200
NPI assigned
Apr 4, 2006
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 14198 WV Primary

Addresses

Primary practice location

508 New Hope Rd Ste 7
Princeton, WV 24740-2265

Mailing address

118 12TH Street Ext
Princeton, WV 24740-2352
Phone (304) 431-5168

Other practice location 1

100 New Hope Road
Suite 23
Princeton, WV 24740-2143
Phone (304) 487-6144

Other identifiers 1

IdentifierTypeStateIssuer
0091117000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000641 WV Practitioner - NeurologyPractitioner - Addiction Medicine 5193849982 Practice locations: Princeton, WV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14198WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Road Treatment Center LLC PastSince Feb 10, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1689636821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-431-5168",
            "fax_number": "304-487-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE RD STE 7",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402265",
            "telephone_number": "304-431-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 New Hope Road",
            "address_2": "Suite 23",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402143",
            "country_code": "US",
            "telephone_number": "304-487-6144",
            "fax_number": "304-487-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERVA",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "14198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091117000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.