MEDICARE: PLEASANT VALLEY ORTHOPEDICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	1858	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740264316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEASANT VALLEY ORTHOPEDICS

Provider Business Mailing Address
First Line	:	PO BOX 236
Second Line	:
City	:	POINT PLEASANT
State	:	WV
Zip	:	25550
Country	:	US
Telephone Number	:	304-675-5275
Fax Number	:	304-675-4878

Provider Business Practice Location Address
First Line	:	2520 VALLEY DR
Second Line	:	SUITE 211
City	:	POINT PLEASANT
State	:	WV
Zip	:	25550
Country	:	US
Telephone Number	:	304-675-5275
Fax Number	:	304-675-4878

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT W MCCLEARY JR.
Credential	:	DO
Telephone Number	:	304-675-5275

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1851118855 — PATRICIA ANN MCDERMITT
Practice Location Address:

1152 NEAL RD
POINT PLEASANT, WV
25550-3605

Practice Phone: 304-733-1094
Practice Fax:

1528061645 — PLEASANT VALLEY HOSPITAL, INC
Practice Location Address:

1011 VIAND STREET
POINT PLEASANT, WV
25550

Practice Phone: 304-675-7400
Practice Fax: 304-675-7401

1851361497 — PATRICK C. DUNSTER M.D.
Practice Location Address:

2520 VALLEY DR
POINT PLEASANT, WV
25550-2092

Practice Phone: 46-754-3403
Practice Fax: 46-756-9113

1760442115 — FAMILY HOME HEALTH PLUS, INC.
Practice Location Address:

2415 JACKSON AVE
POINT PLEASANT, WV
25550-2042

Practice Phone: 304-675-5055
Practice Fax: 304-675-8976

1821046715 — DR. CLIFFORD WILLIAM ROBERSON JR. MD
Practice Location Address:

3009 JACKSON AVE
POINT PLEASANT, WV
25550-1717

Practice Phone: 304-675-8095
Practice Fax: 304-675-8096

1508810961 — LOIS J. BOSLEY D.O.
Practice Location Address:

2605 JACKSON AVE
POINT PLEASANT, WV
25550-1615

Practice Phone: 304-675-4498
Practice Fax: 304-675-8182

Directions to “PLEASANT VALLEY ORTHOPEDICS ” Practice Location

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