CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC (NPI# 1003017823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003017823 |
| Entity Type | Organization |
| Organization Name | CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC |
| Practice Address |
4825 Maccorkle Ave Sw Suite A South Charleston WV 25309 |
| Practice Telephone | 3044004700 |
| Practice Fax Number | 3046932606 |
| Mailing Telephone | 3044004700 |
| Mailing Fax Number | 3046932606 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | DR. ABDUL RAHMAN ZANABLI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3044004700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
22697 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810010603 | 05 | |
| WV | BC BS | 001953144 | 01 |
| Street Address |
4825 MACCORKLE AVE SW SUITE A |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124108006 | Walter Andrew Counts | Counselor | 4825 Maccorkle Ave Sw, Suite D, South Charleston, WV 25309-1365 | 2006-10-16 |
| 1790028744 | Herbert J. Thomas Memorial Hospital Association | Clinic/Center | 4825 Maccorkle Ave Sw, Suite D, South Charleston, WV 25309-1365 | 2013-03-28 |
| 1003987199 | Paulette Susan Justice | Counselor | 4825 Maccorkle Ave Sw, South Charleston, WV 25309-1365 | 2006-11-13 |
| 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 Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598118820 | Muhammad Omar Saleem | Internal Medicine | 4825 Maccorkle Ave Sw Ste A, South Charleston, WV 25309-1365 | 2016-07-21 |
| 1528476215 | Gayatri Lessey | Internal Medicine | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309 | 2014-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321781 | Melissa Kitchen | Internal Medicine | 300 Prosperity Ln Ste 203, Logan, WV 25601-3743 | 2017-04-27 |
| 1639552615 | Manzar Hussain | Internal Medicine | 2345 Chesterfield Ave Ste 301, Charleston, WV 25304-1064 | 2015-07-08 |
| 1740536077 | Shikha Jaiswal | Internal Medicine | 58 16th St Ste 500, Wheeling, WV 26003-3660 | 2012-07-24 |
| 1548515505 | Kavita K Wei | Internal Medicine | 1004 Sushruta Dr Ste A, Martinsburg, WV 25401-8801 | 2012-07-16 |
| 1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1558576454 | Staci Charlene Smith | Internal Medicine | 2828 1st Ave Ste 204, Huntington, WV 25702-1236 | 2007-05-14 |
| 1386709970 | Abbas Yousef El-khatib | Internal Medicine | 296 New Hope Rd Ste 2, Princeton, WV 24740-2262 | 2006-12-26 |
| 1972548618 | Jeffery F Addison | Internal Medicine | 331 Laidley St Ste 307, Charleston, WV 25301-1605 | 2006-06-17 |
| 1760426068 | Ahmad B Faridi | Internal Medicine | 300 Prosperity Lane, Suite 203, Logan, WV 25601 | 2006-06-16 |
| 1760421648 | Dev Raj Rellan | Internal Medicine | 5170 Us Route 60 E, Huntington, WV 25705-2004 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
Please comment or provide details below to improve the information on CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC.
| 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.