MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY (NPI# 1922173202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922173202 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY |
| Other Organization Name | MTN STATE ENT LEWISBURG |
| Practice Address |
304 Seneca Trl Mtn State Ent Lewisburg Ronceverte WV 24970-1320 |
| Mailing Address |
84 Brookshire Ln Beckley WV 25801-6765 |
| Practice Telephone | 3042552341 |
| Mailing Telephone | 3042552341 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | KIMBERLY PAINE (OFFICE MANAGER) |
| Authorized Official Telephone | 3042552341 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
13309 | WV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mtn State ENT Lewisburg | Doing Business As Name - Organization |
| Street Address |
304 SENECA TRL MTN STATE ENT LEWISBURG |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912911553 | Ray L. Jones | Surgery | 304 Seneca Trl, Ronceverte, WV 24970-1320 | 2006-07-28 |
| 1861522526 | Surgical Specialists of The Alleghenies | Specialist | 304 Seneca Trl, Ronceverte, WV 24970-1320 | 2007-03-06 |
| 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 |
|---|---|---|---|---|
| 1467524082 | Greenbrier Valley Ent Pllc | Otolaryngology | 118 Taylor Ln, Ronceverte, WV 24970-1337 | 2006-11-15 |
| 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 MOUNTAIN STATE ENT & FACIAL PLASTIC SURGERY.
| 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.