Organization Active NPI

Richard L del Checcolo MD Inc

  • Internal Medicine Physician
  • Huntington, WV
National Provider Identifier
1710079595
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RICHARD L DEL CHECCOLO MD INC
Doing business as
31st street medical clinic
Practice address
410 31St St
Huntington, WV 25702-1420
Phone
(304) 525-9100
Fax
(304) 525-4402
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Richard Layne Del Checcolo, M.D.
Title
Physician
Phone
(304) 525-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

410 31St St
Huntington, WV 25702-1420

Mailing address

410 31St St
Huntington, WV 25702-1420
Phone (304) 525-9100

Other identifiers 2

IdentifierTypeStateIssuer
001713811OtherWVMOUNTAIN STATE BCBS
0050362000MedicaidWV

Other names 1

  • 31st street medical clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1710079595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 31ST ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021420",
            "telephone_number": "304-525-9100",
            "fax_number": "304-525-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 31ST ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021420",
            "telephone_number": "304-525-9100",
            "fax_number": "304-525-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L DEL CHECCOLO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DEL CHECCOLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-525-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001713811",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050362000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "31st street medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.