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OHIO VALLEY COLON AND RECTAL SURGEONS PLLC NPI 1285855254


NPI Information

NPI: 1285855254
Provider Name: OHIO VALLEY COLON AND RECTAL SURGEONS PLLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
76 SIXTEENTH STREET
SUITE 100
WHEELING, WV
ZIP 26003
Phone: (304) 238-0212
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OHIO VALLEY COLON AND RECTAL SURGEONS PLLC is a colon rectal surgery in Wheeling, WV. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. OHIO VALLEY COLON AND RECTAL SURGEONS PLLC NPI is 1285855254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 SIXTEENTH STREET
SUITE 100
WHEELING, WV
ZIP 26003-660
Phone: (304) 238-0212
Fax: (304) 238-0215

The provider's authorized official is Kim Steven Wiley .
The authorized official title is Practice Owner and has the following contact phone number (304) 238-0212.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 4/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19317662MEDICARE ID-TYPE UNSPECIFIEDOHIO
29317661MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
31806640000MEDICAIDWEST VIRGINIA
42289867MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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