Pineview Surgery PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20482 Issued in WV

Legal business name

PINEVIEW SURGERY PLLC

Practice address

1311 Pineview Dr Ste 200
Morgantown, WV 26505-3276

Phone

(304) 225-7549

Fax

(304) 225-7551

NPI assigned

Jul 25, 2011

Last updated

Jul 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bradford Kent Mitchell, M.D.

Title

Chief Executive Officer

Phone

(304) 225-7549

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1780962704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PINEVIEW DR STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053276",
            "telephone_number": "304-225-7549",
            "fax_number": "304-225-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 PINEVIEW DR STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053276",
            "telephone_number": "304-225-7549",
            "fax_number": "304-225-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVIEW SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-225-7549",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "20482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126711000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Pierson
• Alexa Pigliacampi, MD
• Courtney Pilkerton, MD PHD
• Lakshmikumar Pillai, M.D.
• Pineview Dermatology PLLC
• Mousumi Pinki, CRNP
• Susan Marie Pinto, RN, MSN, FNP-BC
• James Gasper Piovarchy Jr., NP
• Sonya Lynn Piper
• Susan Renee Pippi, NP

• Surgery Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.