GREENBRIER VALLEY ENT PLLC (NPI# 1467524082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467524082 |
| Entity Type | Organization |
| Organization Name | GREENBRIER VALLEY ENT PLLC |
| Practice Address |
118 Taylor Ln Ronceverte WV 24970-1337 |
| Mailing Address |
Po Box 902 Lewisburg WV 24901-0902 |
| Practice Telephone | 3045204991 |
| Mailing Telephone | 3045204991 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. CHRISTOPHER LEE WHITE (OWNER PHYSICIAN) |
| Authorized Official Telephone | 3046450870 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BRICK STREET W/COMP | 1071033 | 01 | |
| AETNA | 7786898 | 01 | |
| FEDERAL BLACK LUNG | 611994100 | 01 | |
| WV | MTN ST BCBS | 001916386 | 01 |
| WV | 129458 | 05 | |
| WV | UNISYS | 1306817689 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 152 Dawkins Dr, Lewisburg, WV 249019302 | 3046450870 |
| Street Address |
118 TAYLOR LN |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922173202 | Mountain State Ent & Facial Plastic Surgery | Otolaryngology | 304 Seneca Trl, Mtn State Ent Lewisburg, Ronceverte, WV 24970-1320 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821199647 | Paul Alex Blair | Otolaryngology | 3667 Teays Valley Rd, Hurricane, WV 25526-9658 | 2006-09-26 |
| 1841307311 | Lee Elliott Smith | Otolaryngology | 122 12th St Ste A, Princeton, WV 24740 | 2006-08-23 |
| 1295262376 | Gateway Ent & Allergy, Inc | Otolaryngology | 240 George St, Beckley, WV 25801-2641 | 2017-05-19 |
| 1902934987 | Paul A. Blair, M.d., Inc | Otolaryngology | 3667 Teays Valley Rd, Hurricane, WV 25526-9658 | 2007-03-01 |
| 1760443162 | Albert James Paine Jr. | Otolaryngology | 86 Brookshire Ln, Beckley, WV 25801-6765 | 2006-03-28 |
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on GREENBRIER VALLEY ENT PLLC.
| 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.