BLUEFIELD PEDIATRIC CARDIOLOGY ASSOCIATES (NPI# 1487170841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487170841 |
| Entity Type | Organization |
| Organization Name | BLUEFIELD PEDIATRIC CARDIOLOGY ASSOCIATES |
| Practice Address |
2221 W Cumberland Rd Bluefield VA 24605 |
| Practice Telephone | 2763227043 |
| Practice Fax Number | 2763227064 |
| Mailing Telephone | 2763227043 |
| Mailing Fax Number | 2763227064 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | MR. MOHAMMAD KHALID IQBAL (PEDIATRIC CARDIOLOGIST) |
| Authorized Official Telephone | 2763227064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101048107 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2221 W CUMBERLAND RD |
| City | BLUEFIELD |
| State | VA |
| Zip Code | 24605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790230563 | Primary Care of The Virginias | Clinic/Center | 2221 W Cumberland Rd, Bluefield, VA 24605-2009 | 2016-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539954 | Meghan Lee Bohach | Specialist/Technologist | 3000 College Dr., Bluefield, VA 24605 | 2019-07-08 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1053719229 | Erika Elaine Bell | Specialist/Technologist | 3000 College Ave, Bluefield, VA 24605 | 2014-12-19 |
| 1487948006 | Fermin Castro | Occupational Therapist | 20 Westwood Memorial Park, Bluefield, VA 24605 | 2011-05-31 |
| 1033422027 | Crewz LLC | Skilled Nursing Facility | Building 20, Westwood Medical Park, Bluefield, VA 24605 | 2010-07-19 |
| 1285966358 | Catherine Gillespie | Speech-Language Pathologist | 108 1/2 Spruce Street, Bluefield, VA 24605 | 2010-02-01 |
| 1790951432 | Derek S Buck | Physical Medicine & Rehabilitation | 111e Sanders Ln, Bluefield, VA 24605 | 2008-05-02 |
| 1275745994 | Christina Lynn Adkins | Occupational Therapist | Westwood Healthcare Center, Westwood Medical Park, Bluefield, VA 24605 | 2007-05-04 |
| 1215158100 | Beth Ann Reed | Physical Therapist | Westwood Center, Westwood Medical Park Rehab Department, Bluefield, VA 24605 | 2007-05-01 |
| 1164543559 | Constance L. Erickson | Speech-Language Pathologist | Westwood Office Park, Bluefield, VA 24605 | 2007-04-03 |
| Find all providers in zip 24605 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1891073110 | Aron K Mccloud | Pediatrics | 629 Cedar Creek Grade Ste B, Winchester, VA 22601-2786 | 2011-08-03 |
| 1346566189 | Kalpana Thammineni | Pediatrics | 171 Elden Street, 200, Herndon, VA 20170 | 2010-04-19 |
| 1710216734 | Richard Merrill Schieken | Pediatrics | 422 September Dr, Richmond, VA 23229-7318 | 2009-12-22 |
| 1447210802 | Jonathan Todd Fleenor | Pediatrics | 601 Children's Lane, Norfolk, VA 23507 | 2006-03-27 |
| 1750369351 | Alan Eric Benheim | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| 1265898142 | Blue Ridge Medical Management Corporation | Pediatrics | 16000 Johnston Memorial Dr, Suite 312e, Abingdon, VA 24211-7664 | 2016-01-08 |
| 1558747592 | Pediatric Cardiology of Central Virginia PC | Pediatrics | 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 | 2015-07-31 |
| 1033519855 | Casa Pediatrics | Pediatrics | 14130 Noblewood Plz, Suite 306, Woodbridge, VA 22193-1464 | 2014-08-28 |
| 1720498850 | Megan Christine Dibble Sirota | Pediatrics | 1250 E Marshall St, Box 980264, Richmond, VA 23298-5051 | 2014-04-28 |
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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.