GRANT MEMORIAL HOSPITAL (NPI# 1407248800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407248800 |
| Entity Type | Organization |
| Organization Name | GRANT MEMORIAL HOSPITAL |
| Other Organization Name | GRANT MEMORIAL HOSPITAL ORTHOPEDIC CLINIC |
| Practice Address |
10 Mulligan Dr Petersburg WV 26847-1000 |
| Mailing Address |
Po Box 1019 Petersburg WV 26847-1019 |
| Practice Telephone | 3012575013 |
| Practice Fax Number | 3042575168 |
| Mailing Telephone | 3042574331 |
| Mailing Fax Number | 3042572891 |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | MR. ROBERT W MILVET JR. (CEO) |
| Authorized Official Telephone | 3042575800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 21 | WV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grant Memorial Hospital Orthopedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275750234 | Grant Memorial Hospital | Durable Medical Equipment & Medical Supplies | Route 4 & 28, Petersburg, WV 26847-1019 | 2007-04-19 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1821096637 | Grant Memorial Hospital | Clinic/Center | State Route 55w, Mt Storm, WV 26739 | 2005-07-14 |
| 1356349161 | Grant Memorial Hospital | Clinic/Center | 1 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 |
| 1346248283 | Grant Memorial Hospital | Clinic/Center | 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 | 2005-07-13 |
| 1598763666 | Grant Memorial Hospital | Medicare Defined Swing Bed Unit | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2005-07-12 |
| 1427579424 | Grant Memorial Hospital | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847-9549 | 2017-06-29 |
| 1316329121 | Grant Memorial Hospital | Internal Medicine | 117 Hospital Dr, Petersburg, WV 26847-9566 | 2015-06-29 |
| 1972983393 | Grant Memorial Hospital | Specialist | 65 Hospital Dr Ste 103, Petersburg, WV 26847-9549 | 2015-06-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRANT MEMORIAL HOSPITAL | 117 Hospital Dr, Petersburg, WV 26847-9566 |
| Street Address |
10 MULLIGAN DR |
| City | PETERSBURG |
| State | WV |
| Zip Code | 26847-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730390782 | Scott Roberts | Orthopaedic Surgery | 10 Mulligan Dr, Petersburg, WV 26847-1000 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1417568445 | Sandra Shook | Technician | 145 Army Lane, Petersburg, WV 26847 | 2020-08-13 |
| 1023590874 | Milas Robertson | Registered Nurse | 117 Hospital Drive, Petersbirg, WV 26847 | 2018-08-29 |
| 1043723851 | Cathy Lynn Arbogast | Technician | 6114 Rig Road, Rig, WV 26847 | 2017-11-15 |
| 1497028500 | Fort Ashby Business Associates, Inc. | Hearing Aid Equipment | 141 Water Street, Moorefield, WV 26847 | 2012-02-21 |
| 1770856882 | Fort Ashby Business Associates, Inc | Durable Medical Equipment & Medical Supplies | 1045 North Fork Highway, Petersburg, WV 26847 | 2012-02-21 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1700055365 | Grant County Board of Education | Local Education Agency (LEA) | 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 | 2008-02-27 |
| 1679741664 | Andrea D Brogan | Speech-Language Pathologist | Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 | 2008-02-13 |
| 1538347943 | Larry C. Rogers | Family Medicine | Memorial Dr, Petersburg, WV 26847 | 2008-02-07 |
| Find all providers in zip 26847 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730390782 | Scott Roberts | Orthopaedic Surgery | 10 Mulligan Dr, Petersburg, WV 26847-1000 | 2007-05-24 |
| 1225341985 | Hahn Enterprises Pllc | Orthopaedic Surgery | 10 Valley View St, Suite 101, Petersburg, WV 26847-9543 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760756 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 1600 Murdoch Ave Ste 100, Parkersburg, WV 26101-3248 | 2017-10-02 |
| 1003251851 | Dana S Lycans | Orthopaedic Surgery | 2211 3rd Ave, Huntington, WV 25703-1225 | 2013-05-07 |
| 1548502354 | William David Mccormick | Orthopaedic Surgery | 60 Castle Pine Ln, South Charleston, WV 25309 | 2013-03-19 |
| 1922392851 | Stonewall Jackson Memorial Hospital Company | Orthopaedic Surgery | 29 Hospital Plz Ste C, Weston, WV 26452-8471 | 2011-06-08 |
| 1730473026 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 1399 Hospital Dr, Hurricane, WV 25526-8709 | 2011-06-03 |
| 1568695047 | Chad Harrison Poage | Orthopaedic Surgery | 47 Highland Ridge Rd, Bridgeport, WV 26330-9263 | 2009-08-31 |
| 1447489828 | William Mcneel Browning IIi | Orthopaedic Surgery | 3100 Maccorkle Seave 900, Charleston, WV 25304-1223 | 2009-07-07 |
| 1356540249 | Scott D Daffner | Orthopaedic Surgery | 1 Stadiumdrive, Morgantown, WV 26506 | 2007-07-12 |
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1477673218 | Diane Elain Shafer | Orthopaedic Surgery | 114 W 2nd Ave # 749, 114 West Second Ave., Williamson, WV 25661-3104 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 26847 |
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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.