Provider Demographics
NPI:1750662656
Name:WV SURGICAL INSTITUTE LLC
Entity Type:Organization
Organization Name:WV SURGICAL INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:LIVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-255-3601
Mailing Address - Street 1:PO BOX 126
Mailing Address - Street 2:
Mailing Address - City:STANAFORD
Mailing Address - State:WV
Mailing Address - Zip Code:25927-0126
Mailing Address - Country:US
Mailing Address - Phone:304-255-3601
Mailing Address - Fax:304-255-3604
Practice Address - Street 1:250 STANAFORD RD
Practice Address - Street 2:SUITE 204
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3140
Practice Address - Country:US
Practice Address - Phone:304-255-3601
Practice Address - Fax:304-255-3604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV21557208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty