Parkersburg Surgical Associates, Pllc

LBN: Parkersburg Surgical Associates, Pllc
Parkersburg Surgical Associates, Pllc is an health care organization with primary practice located at 800 Grand Central Mall Suite 2, Vienna WV 26105-4131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Parkersburg Surgical Associates, Pllc can be contacted via phone (304) 865-4345, or through Koch, John Kevin via phone (304) 865-4345.

Contact Information

Primary practice address
800 Grand Central Mall Suite 2 Vienna WV 26105-4131
Phone: (304) 865-4345
Fax: (304) 420-5995
Website:
Map and Directions
Authorized official contact:
Name: Koch, John Kevin Doctor of Medicine (MD)
Phone: (304) 865-4345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1548285117
LBN Legal business name Parkersburg Surgical Associates, Pllc
DBA Doing business as
Authorized official Koch, John Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548285117 NPPES
West Virginia MEDICAID 0011154000
West Virginia Other 1043080
West Virginia Other 0005186653
West Virginia Other 9298571
West Virginia MEDICAID 2197448
West Virginia Other 001707362

Popular Providers