DR. TRISTON BBJ SMITH (NPI# 1376851519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376851519 |
| Entity Type | Individual |
| Full Name | DR. TRISTON BBJ SMITH |
| Credential | M.D |
| Practice Address |
58 16th Street Wheeling WV 26003 |
| Mailing Address |
One Medical Park Physician Billing Dept-nttc Wheeling WV 26003 |
| Practice Telephone | 3042438452 |
| Practice Fax Number | 3042431447 |
| Mailing Telephone | 3042437181 |
| Mailing Fax Number | 3042431131 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT193015 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
26396 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0135402 | 05 |
| Street Address |
58 16TH STREET |
| City | WHEELING |
| State | WV |
| Zip Code | 26003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639140759 | Mathew Gus Sokos | Family Medicine | 58 16th Street, Wheeling Clinic, Wheeling, WV 26003 | 2006-01-27 |
| 1679059240 | Caitlyn Justine Williams | Physician Assistant | 58 16th Street, Wheeling, WV 26003 | 2018-07-17 |
| 1861858003 | Suzanne Marie Figurski | Nurse Practitioner | 58 16th Street, Wheeling, WV 26003 | 2016-01-04 |
| 1780004093 | Edwin R Rozario | Family Medicine | 58 16th Street, Wheeling, WV 26003 | 2014-04-25 |
| 1245536408 | Amanda Patricia Wakim | Nurse Practitioner | 58 16th Street, Wheeling, WV 26003 | 2011-02-07 |
| 1720393952 | Kimberly Lynn Justice-conley | Social Worker | 58 16th Street, Wheeling, WV 26003 | 2010-08-12 |
| 1871789594 | Yuriko Fukuta | Internal Medicine | 58 16th Street, Wheeling, WV 26003 | 2007-09-17 |
| 1871785139 | Renee A Billie | Physical Therapist | 58 16th Street, 5th Floor Vna of Medical Park, Wheeling, WV 26003 | 2007-08-10 |
| 1295880771 | Frances Smaltz | Nurse Practitioner | 58 16th Street, Wheeling, WV 26003 | 2007-01-24 |
| 1447345046 | Min Wang | Acupuncturist | 58 16th Street, Wheeling, WV 26003 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699132696 | Wheeling Hospital, Inc. | Internal Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2016-01-21 |
| 1033316070 | Deepak Hooda | Internal Medicine | 10 Medical Park, Suite 104, Wheeling, WV 26003 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982143814 | Emilee Huffman | Internal Medicine | 510 Cherry St Ste 101, Bluefield, WV 24701-3336 | 2017-02-12 |
| 1447458401 | Showri Madan Manohar Karnam | Internal Medicine | 600 18th St Ste 512, Parkersburg, WV 26101-3236 | 2007-07-10 |
| 1588711089 | Frank Rivas | Internal Medicine | 1302 4th Ave, Huntington, WV 25701-2401 | 2007-01-05 |
| 1093806259 | Frank Rivas Md Inc | Internal Medicine | 1302 Fourth Ave, Huntington, WV 25704 | 2006-09-27 |
| 1689771149 | Mitchell N. Rashid | Internal Medicine | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2006-09-19 |
| 1720076334 | Mark C Bates | Internal Medicine | 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1062 | 2005-10-07 |
| 1770069163 | Dembal Heart & Vascular Pllc | Internal Medicine | 250 Stanaford Rd, Beckley, WV 25801 | 2018-07-18 |
| 1336632660 | Mountaineer Cardiology Pllc | Internal Medicine | 2345 Chesterfield Ave Ste 302, Charleston, WV 25304-1064 | 2018-06-12 |
| 1700246220 | Beckley Cardiovascular Specialists Inc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2016-02-25 |
| 1235558339 | Gudjon Karlsson | Internal Medicine | 5170 Us Rt 60 East, Huntington, WV 25705 | 2014-04-16 |
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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.