Active NPI
Pleasant Valley Radiology
- Diagnostic Radiology Physician
- Point Pleasant, WV
National Provider Identifier
1780613984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PLEASANT VALLEY RADIOLOGY
- Practice address
- 2520 Valley Dr
Point Pleasant, WV 25550-2031 - Phone
- (304) 675-4340
- Fax
- (304) 675-5893
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suresh K Agrawal, MD
- Title
- President
- Phone
- (304) 675-4340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2520 Valley Dr
Point Pleasant, WV 25550-2031
Mailing address
PO Box 236
Point Pleasant, WV 25550-0236
Phone (614) 430-5726
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009658000 | Medicaid | WV | |
| 0196694 | Medicaid | OH | |
| 000000172729 | Other | ANTHEM | |
| CA8852 | Other | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Point Pleasant, WV
- NPI 1114956323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1780613984",
"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": "255500236",
"telephone_number": "614-430-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 VALLEY DR",
"city": "POINT PLEASANT",
"state": "WV",
"postal_code": "255502031",
"telephone_number": "304-675-4340",
"fax_number": "304-675-5893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT VALLEY RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "AGRAWAL",
"authorized_official_first_name": "SURESH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-675-4340",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009658000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0196694",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000172729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CA8852",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Point Pleasant, WV
- Pleasant Valley Hospital (Pleasant Valley Hospital Pharmacy)
- Pleasant Valley Hospital Inc
- Pleasant Valley Hospital, Inc (Pleasant Valley Home Health)
- Pleasant Valley Hospital, Inc. (Rivers Health Regional Health Center)
- Pleasant Valley Orthopedics
- Pleasant View Professional Counseling, LLC
- Point Imaging Consultants Inc
- Bridget Sue Porter
- Jessica Joyce Queen, LGSW
- R.a Hanna, DDS Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.