CHARLESTON AREA MEDICAL CENTER INC (NPI# 1174040265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174040265 |
| Entity Type | Organization |
| Organization Name | CHARLESTON AREA MEDICAL CENTER INC |
| Other Organization Name | CAMC CARDIOLOGY SOUTH CHARLESTON |
| Practice Address |
4610 Kanawha Ave Sw Ste 200 South Charleston WV 25309-1367 |
| Mailing Address |
3100 Maccorkle Ave Se Ste 203 Charleston WV 25304-1228 |
| Practice Telephone | 3042057992 |
| Practice Fax Number | 3042057739 |
| Mailing Telephone | 3043881724 |
| Mailing Fax Number | 3043881721 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | STEPHEN Z. BELL (VICE PRESIDENT - FINANCE) |
| Authorized Official Telephone | 3043886251 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
1035-7147 | WV | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CAMC Cardiology South Charleston | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390239 | Charleston Area Medical Center Inc | General Acute Care Hospital | 501 Morris St, Charleston, WV 25301 | 2005-10-19 |
| 1265421226 | Charleston Area Medical Center Inc | Psychiatric Unit | 501 Morris St, Charleston, WV 25301-1326 | 2005-10-20 |
| 1639168693 | Charleston Area Medical Center Inc | Rehabilitation Unit | 501 Morris St, Charleston, WV 25301-1326 | 2005-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Charleston Area Medical Center Inc. | 1204 Kanawha Blvd East, Charleston, West Virginia 25301 |
| Street Address |
4610 KANAWHA AVE SW STE 200 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689771149 | Mitchell N. Rashid | Internal Medicine | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2006-09-19 |
| 1477047314 | Holli Lucia Dalton | Physician Assistant | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2018-06-14 |
| 1780180745 | April R. Bowles | Nurse Practitioner | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2018-03-30 |
| 1609008416 | Lailah Marie Rice | Physician Assistant | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497918452 | Casey Shaun Hager | Internal Medicine | 4610 Kanawha Avenue, Sw, Suite 200, South Charleston, WV 25309-1364 | 2008-07-09 |
| 1689731622 | Mohammad B. Yousaf | Internal Medicine | 4607 Maccorkle Ave. Sw, Suite 300, South Charleston, WV 25309 | 2007-01-02 |
| 1700845559 | Elie G Gharib | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1811371321 | Heart & Vascular Medical Center Pllc | Internal Medicine | 427 Carriage Dr, Beckley, WV 25801-2805 | 2015-07-14 |
| 1407294838 | Appalachian Regional Healthcare, Inc. | Internal Medicine | 405 Carriage Drive, Beckley, WV 25801 | 2013-06-07 |
| 1477890630 | Integrated Health Care Providers, Inc. | Internal Medicine | 73 E 3rd Ave, Williamson, WV 25661-3530 | 2013-01-08 |
| 1154688141 | Integrated Health Care Providers, Inc. | Internal Medicine | 556 S Main St, Chapmanville, WV 25508-5001 | 2012-04-16 |
| 1154617678 | Carlos Alberto Rueda Rios | Internal Medicine | 1249 15th St Ste 4000, Huntington, WV 25701-3663 | 2011-06-23 |
| 1669792024 | Getachew Zeleke | Internal Medicine | 1013 Garfield Ave, Parkersburg, WV 26101-4637 | 2010-06-09 |
| 1780906628 | Suncrest Town Centre-wvu | Internal Medicine | 600 Town Centre Drive, Morgantown, WV 26505-1872 | 2010-02-19 |
| 1316271067 | Davis Memorial Hospital - Uha | Internal Medicine | 1 Reed Street & Gorman Ave, Elkins, WV 26241-3496 | 2009-09-29 |
| 1285867739 | Uha- Wvuhi Davis | Internal Medicine | 903 Gorman Ave, Elkins, WV 26241-3149 | 2009-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.