Organization
PLEASANT VALLEY EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN A PAYNE (CREDENTIALLING SPECIALIST)
(304) 675-4340
Entity
Organization
Contact information
Practice address
2520 VALLEY DR, PT PLEASANT, WV 25550
(304) 675-4340
(304) 675-1328
Mailing address
2520 VALLEY DR, PT PLEASANT, WV 25550-2031
(304) 675-4340
(304) 675-1328
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1102
WV
207P00000X
Emergency Medicine Physician
1441
WV
207P00000X
Emergency Medicine Physician
18261
WV
207P00000X
Emergency Medicine Physician
905
WV
207P00000X
Emergency Medicine Physician
945
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009656000
—
WV
01
—
001710511
BCBS
WV
05
—
0164227
—
OH
Enumeration date
09/21/2006
Last updated
05/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us