MED SURG GROUP, INC. (NPI# 1104368505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104368505 |
| Entity Type | Organization |
| Organization Name | MED SURG GROUP, INC. |
| Practice Address |
379 Stanaford Rd Beckley WV 25801-3141 |
| Practice Telephone | 3042533000 |
| Practice Fax Number | 3042557884 |
| Mailing Telephone | 3042533000 |
| Mailing Fax Number | 3042557884 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | DR. OLU R SANGODEYI (PRESIDENT) |
| Authorized Official Telephone | 3042533000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
01065 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0007761000 | 05 |
| Street Address |
379 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651717 | Oluyemisi R. Sangodeyi | Surgery | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2005-07-01 |
| 1073071627 | Donna Miller | Social Worker | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2019-03-03 |
| 1770052268 | Miles Flint Puckett | Specialist/Technologist, Other | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2018-11-14 |
| 1194200147 | Stephanie Diane Lilly | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2018-09-26 |
| 1063943678 | Med Surg Physician Group, Inc. | Specialist | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2017-03-24 |
| 1164822987 | Kelly Lynne Matherly | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2014-08-28 |
| 1003127432 | Ahmad Eter | Internal Medicine | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2010-06-30 |
| 1326069170 | Med-surg Group Incorporated | Family Medicine | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-07-21 |
| 1821029190 | Judith K. Mckinney | Nurse Practitioner | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-07-05 |
| 1427086727 | Barry Alan Levin | Orthopaedic Surgery | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495102 | Hope Vascular Surgical Associates | Clinic/Center | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2017-02-02 |
| 1780895326 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 306 Stanaford Road, Beckley, WV 25801 | 2007-05-25 |
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| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1255403002 | Appalachian Highway Medical & Surgical Clinic, Pllc | Clinic/Center | Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 | 2006-11-15 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1245238237 | Grant Memorial Hospital | Clinic/Center | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2005-07-13 |
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.