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TYGART VALLEY ORTHOPEDICS AND SPORTS MEDICINE INC. NPI 1659391472


NPI Information

NPI: 1659391472
Provider Name: TYGART VALLEY ORTHOPEDICS AND SPORTS MEDICINE, INC.

Doing Business As: TYGART VALLEY ORTHOPEDICS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1502 HARRISON AVE
ELKINS, WV
ZIP 26241
Phone: (304) 637-4509
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TYGART VALLEY ORTHOPEDICS AND SPORTS MEDICINE, INC. is a specialist in Elkins, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TYGART VALLEY ORTHOPEDICS AND SPORTS MEDICINE, INC. NPI is 1659391472. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tygart Valley Orthopedics.

The provider's business location address is:

1502 HARRISON AVE
ELKINS, WV
ZIP 26241-327
Phone: (304) 637-4509
Fax: (304) 637-5319

The provider's authorized official is Richard Edmond Topping .
The authorized official title is President/physician and has the following contact phone number (304) 637-4509.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 5/15/2009.


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
1174400000XSpecialistYes

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
1001710883OTHERWEST VIRGINIABC/BS ID NUMBER
25110270001MEDICARE NSCWEST VIRGINIA
34000084000OTHERWEST VIRGINIAMEDICAID ID NUMBER
45110270001OTHERWEST VIRGINIAMEDICARE DME
59304311MEDICARE PINWEST VIRGINIA
6=========OTHERWEST VIRGINIATAX ID

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: 11/14/2023

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