Med Surg Physician Group, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MED SURG PHYSICIAN GROUP, INC.

Doing business as

Elena Behavioral Health Services

Practice address

101 Martin Dr
Mount Hope, WV 25880-1509

Phone

(304) 253-3000

Fax

(304) 929-2038

NPI assigned

Jun 30, 2021

Organization subpart

Yes

Parent organization

MED SURG PHYSICIAN GROUP, INC.As reported in NPPES

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

Authorized official

Name

Olu R Sangodeyi, MD, CEO

Title

President, Physician

Phone

(304) 253-3000

Specialties & licenses 2

Addresses

Other names 1

• Elena Behavioral Health Services Doing business as

Part of

Med Surg Physician Group Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluyemisi R. Sangodeyi, M.D.

  • Surgery Physician
  • Beckley, WV
  • NPI 1487651717
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1982274965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 STANAFORD RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013141",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARTIN DR",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258801509",
            "telephone_number": "304-253-3000",
            "fax_number": "304-929-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SURG PHYSICIAN GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED SURG PHYSICIAN GROUP, INC.",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "SANGODEYI",
        "authorized_official_first_name": "OLU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
        "authorized_official_telephone_number": "304-253-3000",
        "authorized_official_credential": "MD, CEO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elena Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elena Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelia Renae McCarty
• Stacie McCary, RN
• James McGuire
• Melanie Lynn McKinney
• Michael McKinney
• Khaja Mohiuddin Mohammed, RPH
• Jarrod Keith Moore
• Mount Hope Fire & EMS
• Mount Hope Fire and Emergency Medical Services Inc.
• Mount Hope Fire Department

• Community/Behavioral Health Agency in Mount Hope, WV
• Providers in Mount Hope, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.