NPIMap

Organization Active NPI

Pleasant Valley Orthopedics

  • Surgery Physician
  • Point Pleasant, WV
National Provider Identifier
1740264316
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1858 Issued in WV
Legal business name
PLEASANT VALLEY ORTHOPEDICS
Practice address
2520 Valley Dr
Suite 211
Point Pleasant, WV 25550
Phone
(304) 675-5275
Fax
(304) 675-4878
NPI assigned
Dec 6, 2005
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
Robert W McCleary Jr., DO
Title
President
Phone
(304) 675-5275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 1858 WV Primary

Addresses

Primary practice location

2520 Valley Dr
Suite 211
Point Pleasant, WV 25550

Mailing address

PO Box 236
Point Pleasant, WV 25550
Phone (304) 675-5275

Other identifiers 2

IdentifierTypeStateIssuer
2587599MedicaidOH
3170001873MedicaidWV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740264316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-5275",
            "fax_number": "304-675-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DR",
            "address_2": "SUITE 211",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-5275",
            "fax_number": "304-675-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLEARY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-675-5275",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "1858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587599",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3170001873",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, 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.