DR. CHARLES NWANGUMA (NPI# 1992840060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992840060 |
| Entity Type | Individual |
| Full Name | DR. CHARLES NWANGUMA |
| Credential | M.D. |
| Practice Address |
601 Holden Rd Logan Regional Cancer Center Logan WV 25601-3477 |
| Mailing Address |
5502 Brazos Springs Dr Sugar Land TX 77479-8836 |
| Practice Telephone | 3048312500 |
| Mailing Telephone | 2816339996 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
21991 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3810003029 | 05 |
| Street Address |
601 HOLDEN RD LOGAN REGIONAL CANCER CENTER |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164687521 | Logan Oncology Care Associates, LLC | Radiology | 601 Holden Road, Logan, WV 25601-0000 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235290214 | Velayudhan Sahadevan | Radiology | 155 Dry Hill Road, Beckley, WV 25801 | 2006-12-13 |
| 1437192630 | Charles H Shelton IIi | Radiology | 187 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-06-14 |
| 1184667826 | Greenbrier Valley Radiation Oncology, Pllc | Radiology | 187 Skylar Drive, Fairlea, WV 24901-9359 | 2006-06-13 |
| 1063469625 | Radiation Oncology Associates, Inc. | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-05-28 |
| 1972562627 | John C Frich | Radiology | 1stadium Dr, Morgantown, WV 26506-7911 | 2006-03-21 |
| 1962867408 | Wheeling Hospital, Inc. | Radiology | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-12-29 |
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1770889511 | Malcolm D Mattes | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2011-01-26 |
| 1770803314 | Phuong Nguyen | Radiology | 2000 Eoff St, Wheeling, WV 26003-3823 | 2010-06-06 |
| 1285950873 | Rebekah L Young | Radiology | 1400 Hal Greer Blvd, Huntington, WV 25701-4114 | 2010-04-08 |
| 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.