Active NPI
Samuel C Rossi, M.D.
- Surgery Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21558
- Practice address
- 600 Tracy Way
Suite 2
Charleston, WV 25311-1262 - Phone
- (304) 388-4965
- Fax
- (304) 388-4968
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21558 | WV | Primary |
Addresses
Primary practice location
600 Tracy Way
Suite 2
Charleston, WV 25311-1262
Mailing address
600 Tracy Way
Ste 2
Charleston, WV 25311-1262
Phone (304) 388-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21558 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290
3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820
3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336
600 Tracy Way
Ste 2
Charleston, WV 25311
Phone (304) 388-4965
3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1124248752
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1952497703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 TRACY WAY",
"address_2": "STE 2",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111262",
"telephone_number": "304-388-1724",
"fax_number": "304-388-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 TRACY WAY",
"address_2": "SUITE 2",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253111262",
"telephone_number": "304-388-4965",
"fax_number": "304-388-4968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "SAMUEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "21558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.