APPALACHIAN HIGHWAY MEDICAL & SURGICAL CLINIC, PLLC
NPI 1255403002
Clinic/Center - Multi-Specialty in Pineville, WV

Active since November 15, 2006
APPALACHIAN HWY, RT. 10 EAST PINEVILLE, PINEVILLE, WV 24874(304) 732-9045(304) 732-9055 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Appalachian Highway Medical & Surgical Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPALACHIAN HIGHWAY MEDICAL & SURGICAL CLINIC, PLLC (NPI 1255403002) is a healthcare organization registered as a multi-specialty in Pineville, West Virginia and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Beckley and lists Dominador Yti Lao, Physician, as its authorized official.

NPPES Registry Identity

NPI1255403002
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAPPALACHIAN HIGHWAY MEDICAL & SURGICAL CLINIC, PLLC
Location AddressAPPALACHIAN HWY, RT. 10 EAST PINEVILLEPineville, WV 24874-1274
Mailing AddressAppalachian Highway Rt. 10 East PinevillePineville, WV 24874-1274 · (304) 732-9045 · Fax (304) 732-9055
Fax(304) 732-9055
Organization SubpartNo
Authorized OfficialDominador Yti LaoPhysician · (304) 732-9045
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 7, 2019
NPI 1255403002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in WV · 12700
APPALACHIAN HWY, RT. 10 EAST PINEVILLE, Pineville, WV 24874

Secondary Practice Location 1

Location 1215 N Eisenhower DrBeckley, WV 25801-4138 · Phone (304) 252-3336

Other Identifiers 5

Other00182204WV · Blue Cross Blue Shield
Other200001780WV · Railroad Medicare
Other57799WV · Unicare
Medicaid0128304001WV
Other1220372WV · Cha

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Appalachian Highway Medical & Surgical Clinic, PLLC's NPI number?

The NPI number for Appalachian Highway Medical & Surgical Clinic, PLLC is 1255403002. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Appalachian Highway Medical & Surgical Clinic, PLLC located?

Appalachian Highway Medical & Surgical Clinic, PLLC is located at Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874. The listed phone number is (304) 732-9045.

What is Appalachian Highway Medical & Surgical Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Appalachian Highway Medical & Surgical Clinic, PLLC was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.