DR. CHARLES F BOU-ABBOUD (NPI# 1255324844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324844 |
| Entity Type | Individual |
| Full Name | DR. CHARLES F BOU-ABBOUD |
| Credential | MD |
| Practice Address |
58 Brookshire Lane Beckley WV 25801-6765 |
| Practice Telephone | 3042524900 |
| Practice Fax Number | 3042528470 |
| Mailing Telephone | 3042524900 |
| Mailing Fax Number | 3042528470 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
16314 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6001170000 | 05 |
| Street Address |
58 BROOKSHIRE LANE |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1619307402 | Raleigh General Hospital LLC | Internal Medicine | 1717 Harper Rd Fl 2, Beckley, WV 25801-3373 | 2013-11-15 |
| 1760410856 | Touraj Farid | Internal Medicine | 1844 Harper Rd, Beckley, WV 25801-3366 | 2006-06-29 |
| 1215976188 | Richard J Mailloux | Internal Medicine | Dr. Richard Mailloux, 198 Carriage Drive, Beckley, WV 25801-2804 | 2006-06-06 |
| 1871584979 | Syed M Siddiqi | Internal Medicine | 93 Hickory Dr, Beckley, WV 25801-2834 | 2005-10-31 |
| 1063618593 | Gastroenterology of Southern Wv | Internal Medicine | 1844 Harper Rd, Beckley, WV 25801-3366 | 2007-06-22 |
| 1164644886 | Syed M Z A Siddiqi Md PC Inc | Internal Medicine | 93 Hickory Dr, Beckley, WV 25801-2834 | 2007-05-03 |
| 1407904642 | John M. Haught | Internal Medicine | 2401 S Kanawha St, Suite 105, Beckley, WV 25801-6905 | 2007-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982134508 | Future Medical, Pllc | Internal Medicine | 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 | 2017-06-15 |
| 1184934952 | Shailendra Singh | Internal Medicine | 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 | 2010-10-14 |
| 1558687111 | Hamza Walid Shah | Internal Medicine | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2010-04-07 |
| 1619170693 | Mark Thomas Voellinger | Internal Medicine | 2115 Chapline St Ste 101, Wheeling, WV 26003-3859 | 2007-06-07 |
| 1760691596 | Logan Gastroenterology | Internal Medicine | 6 Woodcrest Ln, Charleston, WV 25314-2472 | 2007-05-21 |
| 1205995701 | Mohamad B. Haffar | Internal Medicine | 117 7th Ave, South Charleston, WV 25303-1417 | 2006-12-08 |
| 1881778611 | Joann A Okeefe | Internal Medicine | 1000 Mon Health Medical Park Dr Ste 1101, Morgantown, WV 26505-1143 | 2006-10-25 |
| 1932201985 | Richard Boyd Peterson | Internal Medicine | 424 Division St, Suite 100, South Charleston, WV 25309-1400 | 2006-09-01 |
| 1780692277 | Harry Earl Duncan Jr. | Internal Medicine | 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 | 2006-08-03 |
| 1033166830 | Mohammad Roidad | Internal Medicine | 1614 Locust Ave, Fairmont, WV 26554-1319 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
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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.