CLARKSBURG CARDIOLOGY CONSULTANTS NPI 1871531897

NPI Information

NPI: 1871531897
Provider Name: CLARKSBURG CARDIOLOGY CONSULTANTS
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
527 MEDICAL PARK DRIVE
STE 306
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 933-3830
Get Directions

CLARKSBURG CARDIOLOGY CONSULTANTS is a cardiovascular disease internal medicine in Bridgeport, WV. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CLARKSBURG CARDIOLOGY CONSULTANTS NPI is 1871531897. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

527 MEDICAL PARK DRIVE
STE 306
BRIDGEPORT, WV
ZIP 26330-008
Phone: (304) 933-3830
Fax: (304) 933-3837

The provider's authorized official is S.m. Reddy .
The authorized official title is Partner and has the following contact phone number (304) 933-3830.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 1/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	044134	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1327565	OTHER	WEST VIRGINIA	UMW GROUP
2	1327565	OTHER	WEST VIRGINIA	UWMA GROUP
3	000465033	MEDICAID	WEST VIRGINIA
4	9919981	MEDICARE UPIN	WEST VIRGINIA
5	000465033	OTHER	WEST VIRGINIA	BCBS GROUP
6	0011726000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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