| NPI | 1053604728 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2011-05-27 |
| Last Updated | 2022-01-27 |
| Mailing Address | 320 Red Oaks Shopping Ctr Ronceverte, WV 24970-1364 United States Phone: (304) 689-4488 | Fax: (866) 920-6674 📍 View Map |
| Primary Practice Address | 320 Red Oaks Shopping Ctr Ronceverte, WV 24970-1364 United States Phone: (304) 689-4488 | Fax: (304) 927-8198 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208D00000X – General Practice | WV | 2651 |
| Yes | 207Q00000X – Family Medicine | WV | 2651 |
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About NPI 1053604728
Eleonora I Grey DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053604728. The primary specialty listed is Family Medicine. The provider is located in Ronceverte, WV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-05-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053604728?
NPI 1053604728 belongs to Eleonora I Grey DO, a Family Medicine in Ronceverte, WV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053604728 active?
The current status of NPI 1053604728 in the NPPES registry is Active. The record was last updated on 2022-01-27.
What specialty is NPI 1053604728?
NPI 1053604728 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053604728?
You can verify NPI 1053604728 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053604728?
The primary practice address on file for NPI 1053604728 is 320 Red Oaks Shopping Ctr, Ronceverte, WV 24970-1364. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053604728 issued?
NPI 1053604728 was first issued (enumerated) on 2011-05-27. The NPPES record was last updated on 2022-01-27.
Practice Location Map
Eleonora I Grey is located at 320 Red Oaks Shopping Ctr, Ronceverte, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eleonora I Grey. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053604728. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| General Practice | 2651 | WV |
| Family Medicine | 2651 | WV |