GHASSAN SALIM ISSA BANDAK (NPI# 1023397114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023397114 |
| Entity Type | Individual |
| Full Name | GHASSAN SALIM ISSA BANDAK |
| Credential | MD |
| Practice Address |
1249 15th St Ste 3000 Huntington WV 25701-3663 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 3046911000 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 27991 | WV | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301098860 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
27991 | WV | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
60022 | MN | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
27991 | WV | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
1249 15TH ST STE 3000 |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457950 | Ronald J Innerfield | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701 | 2006-06-17 |
| 1952919094 | Alexander Craig Hill | Pharmacist | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2020-07-15 |
| 1508403106 | Amy Zimmerman | Registered Nurse | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2019-12-03 |
| 1912392432 | Lesly Hollon | Nurse Practitioner | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2015-04-01 |
| 1811316458 | Shima Ghavimi | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2014-04-10 |
| 1225476161 | Tarake M. Aljarod | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2013-06-13 |
| 1902240468 | Sharifa Alhassan | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2013-04-26 |
| 1578801056 | Elie Khalil | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2013-01-18 |
| 1508129719 | Peimei He | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2012-06-21 |
| 1821376807 | Mohammed Aljasmi | Internal Medicine | 1249 15th St Ste 3000, Huntington, WV 25701-3663 | 2011-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1740681568 | Huntington Hospital Association | Internal Medicine | 270 Park Ave, Huntington, NY 11743-2787 | 2014-09-11 |
| 1669805099 | Sigurdur Thor Sigurdarson | Internal Medicine | 5170 Us Rt 60 East, Huntington, WV 25705 | 2013-08-21 |
| 1164686333 | Saad Saeed Khan | Internal Medicine | 1249 15th St, Suite 3000, Huntington, WV 25701-3662 | 2008-07-16 |
| 1053405084 | Jalil Anwar | Internal Medicine | 161 E Main St, Huntington, NY 11743-2967 | 2006-10-03 |
| 1851318869 | Ferdinand C Diblasio | Internal Medicine | 270 Park Ave, Huntington, NY 11743-2787 | 2006-07-16 |
| 1790740967 | Imran T. Khawaja | Internal Medicine | 1249 15th Street, Suite 3000, Huntington, WV 25701 | 2006-04-19 |
| 1740249580 | John Frederick Anderson | Internal Medicine | 270 Park Ave, Huntington, NY 11743-2787 | 2006-03-21 |
| 1396704573 | Neeraj Katriyar | Internal Medicine | 270 Park Ave, Huntington, NY 11743-2787 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174861892 | Min Jung Kim | Internal Medicine | 4619 Kanawha Avenue Sw, South Charleston, WV 25309 | 2013-01-30 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1467608760 | University Critical Care Associates | Internal Medicine | 185 Brockton Ln, Martinsburg, WV 25403-8372 | 2008-08-18 |
| 1720200744 | Kevin L Eggleston | Internal Medicine | 4619 Kanawha Ave., Sw, South Charleston, WV 25309 | 2007-05-02 |
| 1841218872 | Tamejiro Takubo Jr. | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 | 2006-07-17 |
| 1710912399 | Mark Nutter Griffith | Internal Medicine | 1000 Mon Health Medical Park Dr Ste 1102, Morgantown, WV 26505 | 2006-07-11 |
| 1497781082 | Robby L Keith | Internal Medicine | 4619 Kanawha Avenue, Se, South Charleston, WV 25309 | 2006-06-24 |
| 1285607382 | Mahendrakumar M. Patel | Internal Medicine | 6 Hunters Point Rd, Charleston, WV 25314-1631 | 2006-02-09 |
| 1033189766 | Andrzej J Jaworski | Internal Medicine | 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 | 2006-01-25 |
| 1285623108 | David A Adkins | Internal Medicine | 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 | 2005-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
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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.