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ST. MARY'S MEDICAL MANAGEMENT LLC NPI 1205596665


NPI Information

NPI: 1205596665
Provider Name: ST. MARY'S MEDICAL MANAGEMENT, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2828 1ST AVE STE 400
HUNTINGTON, WV
ZIP 25702
Phone: (304) 525-6905
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ST. MARY'S MEDICAL MANAGEMENT, LLC is an orthopaedic surgery in Huntington, WV. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ST. MARY'S MEDICAL MANAGEMENT, LLC NPI is 1205596665. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2828 1ST AVE STE 400
HUNTINGTON, WV
ZIP 25702-236
Phone: (304) 525-6905
Fax: (304) 525-0747

The provider's authorized official is Angela Taylor .
The authorized official title is Credentialing Coordinator and has the following contact phone number (304) 399-4405.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.


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
1207X00000XOrthopaedic SurgeryYes
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4335E00000XProsthetic/Orthotic SupplierNo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363AS0400XPhysician AssistantSurgicalNo
8363LF0000XNurse PractitionerFamilyNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.