Organization Active NPI

WV Primary Care Inc

  • Internal Medicine Physician
  • Cross Lanes, WV
National Provider Identifier
1821317330
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19078 Issued in WV
Legal business name
WV PRIMARY CARE INC
Practice address
924 Cross Lanes Dr
Cross Lanes, WV 25313-1315
Phone
(304) 776-1046
NPI assigned
May 24, 2010
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Ashish P Sheth, MDNPI 1487645073
Title
President
Phone
(304) 776-1046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19078 WV Primary

Addresses

Primary practice location

924 Cross Lanes Dr
Cross Lanes, WV 25313-1315

Mailing address

924 Cross Lanes Dr
Cross Lanes, WV 25313-1315
Phone (304) 776-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100914000015 WV Part B Supplier - Clinic/Group Practice 2860517976 Receives reassigned benefits from 6 practitioners
Practice locations: Cross Lanes, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2019767WV Primary Care Inc924 Cross Lanes Drive, Cross Lanes, WV 25313Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory

Locations

924 Cross Lanes Dr
Cross Lanes, WV 25313
Phone (304) 776-1046

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1821317330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131315",
            "telephone_number": "304-776-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131315",
            "telephone_number": "304-776-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-776-1046",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.