Active NPI
Justin Neil Venable, MD
- Surgery Physician
- Petersburg, WV
National Provider Identifier
1821134057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22529
- Practice address
- Routes 28 55
Grant Memorial Hospital Drive
Petersburg, WV 26847-1019 - Phone
- (304) 257-1026
- Fax
- (304) 257-2537
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22529 | WV | Primary |
Addresses
Primary practice location
Routes 28 55
Grant Memorial Hospital Drive
Petersburg, WV 26847-1019
Mailing address
3470 Calumet Dr
Shreveport, LA 71107-7410
Phone (318) 222-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22529 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hahn Enterprises PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Petersburg, WV
- NPI 1225341985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821134057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3470 CALUMET DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711077410",
"telephone_number": "318-222-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTES 28 55",
"address_2": "GRANT MEMORIAL HOSPITAL DRIVE",
"city": "PETERSBURG",
"state": "WV",
"postal_code": "268471019",
"telephone_number": "304-257-1026",
"fax_number": "304-257-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENABLE",
"first_name": "JUSTIN",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "22529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.