Healthcare Provider Details

I. General information

NPI: 1609136407
Provider Name (Legal Business Name): OHIO VALLEY OPTIMAL HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 B THREE SPRINGS DRIVE
WEIRTON WV
26062
US

IV. Provider business mailing address

117 B THREE SPRINGS DRIVE
WEIRTON WV
26062
US

V. Phone/Fax

Practice location:
  • Phone: 304-723-2494
  • Fax: 304-723-2301
Mailing address:
  • Phone: 304-723-2494
  • Fax: 304-723-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12973NP
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number83280
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3525
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC009025
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberWV
License Number StateNULL
# 7
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 8
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number08130
License Number StateWV
# 9
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35052753
License Number StateOH
# 10
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD025093L
License Number StatePA

VIII. Authorized Official

Name: DR. THOMAS G HARPER
Title or Position: OWNER / PHYSICIAN
Credential: MD
Phone: 304-723-2494