PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC


Address: 428 Division St, Suite 3a, South Charleston, WV 25309-1469
Phone: 3044004626

PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC (NPI# 1609216605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609216605
Entity Type Organization
Organization Name PEDIATRIC GASTROENTEROLOGY OF CHARLESTON, PLLC
Practice Address 428 Division St
Suite 3a
South Charleston
WV 25309-1469
Practice Telephone 3044004626
Mailing Telephone 3044004626
Enumeration Date 2013-07-05
Last Update Date 2013-11-26
Authorized Official Name DR. AHMED DAHSHAN (PHYSICIAN/OWNER)
Authorized Official Telephone 3044004626
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
24418 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 381002088 05

Office Location

Street Address 428 DIVISION ST
SUITE 3A
City SOUTH CHARLESTON
State WV
Zip Code 25309-1469

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578620696 Badshah J. Wazir Specialist 428 Division St, South Charleston, WV 25309-1469 2007-01-02
1578922878 Activate Healthcare - Teamsters 175 & 505 Clinic Clinic/Center 428 Division St, Suite 2, South Charleston, WV 25309-1469 2016-02-15
1982909800 Kimalisa Kay Shamblin Spec/Tech, Cardiovascular 428 Division St, South Charleston, WV 25309-1469 2011-01-25
1770706772 South Charleston Cardiology Associates Specialist 428 Division St, South Charleston, WV 25309-1469 2007-04-10
1407079304 South Charleston Cardiodiagnostics Clinical Medical Laboratory 428 Division St, 1st Floor, South Charleston, WV 25309-1469 2007-04-10

Providers in the same zip code

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 Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619243714 Amy J Guido Pediatrics 1 Medical Center Dr, Morgantown, WV 26506 2012-03-22
1063688265 Audra Suzanne Rouster Pediatrics 1 Medical Center Dr, 9214, Morgantown, WV 26506-9214 2008-05-07
1174615587 Brian Riedel Pediatrics 1 Medical Center Dr, Poc Pediatric Clinic, Morgantown, WV 26506 2006-09-30
1346341211 John N Udall Pediatrics 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 2006-09-25

Competitor

Search similar providers

City SOUTH CHARLESTON
Zip Code 25309

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Dataset Information

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.

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