ISLAND MEDICAL BLUEFIELD LLC (NPI# 1871095711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871095711 |
| Entity Type | Organization |
| Organization Name | ISLAND MEDICAL BLUEFIELD LLC |
| Practice Address |
500 Cherry St Bluefield WV 24701 |
| Mailing Address |
Po Box 74622 Cleveland OH 44194-0002 |
| Practice Telephone | 3043271771 |
| Mailing Telephone | 3306565911 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | CHARLES WOLF (CFO) |
| Authorized Official Telephone | 3306565911 |
| Is Organization Subpart | Y |
| Parent Organization Name | ISLAND MEDICAL BLUEFIELD LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023561248 | Island Medical Bluefield LLC | Emergency Medicine | 500 Cherry St, Bluefield, WV 24701-3306 | 2016-07-25 |
| Street Address |
500 CHERRY ST |
| City | BLUEFIELD |
| State | WV |
| Zip Code | 24701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
| 1942826250 | Angela Louise Collins | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-06-23 |
| 1417577081 | Miranda Cox | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-23 |
| 1346869575 | Maryam Bayat Mokhtari | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2020-04-08 |
| 1891350179 | Bluefield Hospital Company LLC | Medicare Defined Swing Bed Unit | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-05-02 |
| 1013473438 | Bridget Chinelo Nduka | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2019-02-11 |
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1134698798 | Icp West Virginia LLC | Emergency Medicine | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1801361399 | Jessica A Compton | Nurse Practitioner | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-10-10 |
| 1518451962 | Shariful Alam | Student in an Organized Health Care Education/Training Program | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285083105 | Amber Mcclung | Pharmacist | South View Mall Us Route 52, Bluewell, WV 24701 | 2016-06-10 |
| 1083003909 | Kerri Francis | Specialist/Technologist | 219 Rock Street, Bluefield, WV 24701 | 2015-01-15 |
| 1740524222 | Stephanie Michelle Neely | Specialist | Rt 2 Old Princeton Road, Bluefield, WV 24701 | 2012-11-21 |
| 1649525676 | Charles Lohr | Pharmacist | 2924 E Cumberland Rd, Bluefield, WV 24701 | 2012-07-16 |
| 1508144239 | Chastity Leigh Walker | Nurse Practitioner | 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 | 2011-07-29 |
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| 1972810125 | Bluefield Clinic Company LLC | Clinic/Center | 154 Majestic Place, Bluefield, WV 24701 | 2010-09-09 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| 1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
| 1952596603 | Bluefield Int & Cardio | Internal Medicine | 1331 Southview Drive, Suite 5, Bluefield, WV 24701 | 2007-09-06 |
| Find all providers in zip 24701 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850319 | Integrated Wv LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2018-11-13 |
| 1700263100 | West Virginia Comprehensive Hospitalists, Pllc | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2015-05-05 |
| 1083091474 | Wv Emergency Physician Partners, Pllc | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2015-05-05 |
| 1831529437 | West Virginia Group Services, LLC | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2013-11-18 |
| 1881887842 | Bluefield Hospitalists Medical Group, Inc. | Hospitalist | 500 Cherry St, Bluefield, WV 24701-3306 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790164184 | Elizabeth P. Lane | Hospitalist | 3100 Maccorkle Ave Se Ste B16, Charleston, WV 25304 | 2015-05-19 |
| 1891134706 | Harish Pulluru | Hospitalist | 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304-1227 | 2013-06-24 |
| 1194232801 | South Branch Hospitalist and Internal Medicine Group Pllc | Hospitalist | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2018-01-03 |
| 1790231025 | Ridwaan Albeiruti | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-08-28 |
| 1740733187 | Shenell A Bernard | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-08-02 |
| 1225481443 | Muhammad Ijaz Pervez | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-07-22 |
| 1649626102 | Sean Regner | Hospitalist | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-13 |
| 1962857888 | Vijayalakshmi Chinta | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-04-28 |
| 1013370998 | Christina Kitsos | Hospitalist | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2016-03-30 |
| 1912369018 | Courtney L. Bays | Hospitalist | 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 | 2016-03-28 |
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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.