DR. STEPHEN LEE DIBLASI DO NPI 1609865930

NPI Information

NPI: 1609865930
Provider Name: DR. STEPHEN LEE DIBLASI, DO
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
4315 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 926-8080
Get Directions

DR. Stephen Lee Diblasi, DO is a cardiovascular disease internal medicine in Charleston, 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. DR. Stephen Lee Diblasi, DO NPI is 1609865930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4315 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304-503
Phone: (304) 926-8080
Fax: (304) 926-8083

The NPI 1609865930 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2005 and was last updated on 12/12/2014.

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	053388	GEORGIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	1803	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
1	06BDHJC	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	E75547	MEDICARE UPIN	WEST VIRGINIA
3	471776680A	MEDICAID	GEORGIA

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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