E J Salon MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18381 Issued in WV

Legal business name

E J SALON MD INC

Practice address

200 Raleigh Ave
Beckley, WV 25801-5944

Phone

(304) 252-8541

Fax

(304) 253-2507

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Ely J Salon, M.D.

Title

Prsident

Phone

(304) 252-8541

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1699819219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RALEIGH AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015944",
            "telephone_number": "304-252-8541",
            "fax_number": "304-253-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RALEIGH AVE",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015944",
            "telephone_number": "304-252-8541",
            "fax_number": "304-253-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E J SALON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SALON",
        "authorized_official_first_name": "ELY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "304-252-8541",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001722335",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079492000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Duvall-Gilbert
• Jeannine Dwyer
• Johnny Dy, MD
• Maria Carmelita Dy, PT
• Mark Andrew Dzara, PHARMD
• Anita L Eades, APRN ,BC
• Alysa Nichole Eagle
• Laura Beth Eary, LGSW, MSW
• Eastern Pathology
• Sabrina Suzanne Eastham, BSW, LSW

• Internal Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.