NPIMap

Organization Active NPI

Scott Keffer Inc

Doing business as Mountain Medical Associates

  • Family Medicine Physician
  • Ansted, WV
National Provider Identifier
1831224740
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1615 Issued in WV
Legal business name
SCOTT KEFFER INC
Doing business as
Mountain Medical Associates
Practice address
123 James River & Kanawha Turnpike East
Ansted, WV 25812-1401
Phone
(855) 250-3054
Fax
(304) 658-4690
NPI assigned
Feb 22, 2007
Last updated
Oct 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SCOTT KEFFER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Authorized official

Name
Scott Keffer, DONPI 1700878881
Title
President
Phone
(304) 228-6809

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1615 WV Primary

Addresses

Primary practice location

123 James River & Kanawha Turnpike East
Ansted, WV 25812-1401

Mailing address

PO Box a
Ansted, WV 25812-1401
Phone (855) 250-3054

Other names 1

  • Mountain Medical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Scott Keffer Inc

Locations

203 Grey Flats Rd
Beckley, WV 25801
Phone (304) 255-7676

4026 Robert C Byrd Dr
#A
Beckley, WV 25801
Phone (304) 250-6047

Practitioners & affiliated clinicians

Practitioners 5

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351209600000",
    "number": "1831224740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "ANSTED",
            "state": "WV",
            "postal_code": "258121401",
            "telephone_number": "855-250-3054",
            "fax_number": "304-658-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 JAMES RIVER & KANAWHA TURNPIKE EAST",
            "city": "ANSTED",
            "state": "WV",
            "postal_code": "258121401",
            "telephone_number": "855-250-3054",
            "fax_number": "304-658-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT KEFFER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT KEFFER INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-10-26",
        "status": "A",
        "authorized_official_last_name": "KEFFER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-228-6809",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ansted, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.