Active NPI
Neurology Clinic, Inc
- Neurology Physician
- Ronceverte, WV
National Provider Identifier
1780877548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 21743
- Legal business name
- NEUROLOGY CLINIC, INC
- Practice address
- 100 Taylor LN
Ronceverte, WV 24970-1337 - Phone
- (304) 645-5185
- Fax
- (904) 645-5184
- NPI assigned
- Aug 23, 2007
- Last updated
- Jan 28, 2008
- 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
- Pauline L. Miley
- Title
- Manager
- Phone
- (304) 645-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 21743 | WV | Primary |
Addresses
Primary practice location
100 Taylor LN
Ronceverte, WV 24970-1337
Mailing address
PO Box 1670
Lewisburg, WV 24901-4670
Phone (304) 645-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC7262 | Other | PALMETTO GBA |
National Provider Directory
National Provider DirectoryLocations
169 E Dawkins Dr
RR 2
Lewisburg, WV 24901
169 E Dawkins Dr
RR 2
Lewisburg, WV 24901
Phone (304) 536-2030
Practitioners & 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.
-
- Neurology Physician
- Raleigh, NC
- NPI 1003830399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1780877548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1670",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249014670",
"telephone_number": "304-645-5185",
"fax_number": "904-645-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TAYLOR LN",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249701337",
"telephone_number": "304-645-5185",
"fax_number": "904-645-5184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "MILEY",
"authorized_official_first_name": "PAULINE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "304-645-5185"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WV",
"license": "21743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "DC7262",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.