Active NPI
Apolonio E Lirio Jr., MD
- Urology Physician
- Crab Orchard, WV
National Provider Identifier
1922189745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 12065
- Practice address
- RT 16 Robert C Byrd Drive
Crab Orchard, WV 25827 - Phone
- (304) 253-8336
- Fax
- (304) 253-8337
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 12065 | WV | Primary |
Addresses
Primary practice location
RT 16 Robert C Byrd Drive
Crab Orchard, WV 25827
Mailing address
PO Box 1602
RT 16
Crab Orchard, WV 25827
Phone (304) 253-8336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130871000 | Medicaid | WV |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000000000 | WV | MD | Peer Specialist |
| 12065 | WV | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crab Orchard Medical Assoc. Inc. | Past | Accepting new patients | |
| Crab Orchard Medical Assoc. Inc. | Urology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Crab Orchard, WV
- NPI 1184705907
Urology
-
- Specialist
- Crab Orchard, WV
- NPI 1730378928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922189745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1602",
"address_2": "RT 16",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "25827",
"telephone_number": "304-253-8336",
"fax_number": "304-253-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 16 ROBERT C BYRD DRIVE",
"city": "CRAB ORCHARD",
"state": "WV",
"postal_code": "25827",
"telephone_number": "304-253-8336",
"fax_number": "304-253-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRIO",
"first_name": "APOLONIO",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WV",
"license": "12065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130871000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crab Orchard, 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.