DR. MICHAEL A. MALAMISURA


Address: 510 Cherry Street, Bluefield, WV 24701-9999
Phone: 3043253666

DR. MICHAEL A. MALAMISURA (NPI# 1134161029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134161029
Entity Type Individual
Full Name DR. MICHAEL A. MALAMISURA
Credential MD
Practice Address 510 Cherry Street
Bluefield
WV 24701-9999
Practice Telephone 3043253666
Practice Fax Number 3043272497
Mailing Telephone 3043253666
Mailing Fax Number 3043272497
Enumeration Date 2006-06-12
Last Update Date 2019-04-10
NPI Deactivation Date 04/04/2019
NPI Reactivation Date 2019-04-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 11940 WV Other Service Providers
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
11940 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV DEA AM1743764 01
MEDICARE PTAN 9383331 01

Office Location

Street Address 510 CHERRY STREET
City BLUEFIELD
State WV
Zip Code 24701-9999

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942359401 Michael T. Hegstrom,md, Pllc Specialist 510 Cherry Street, Suite 206, Blgd. A, Bluefield, WV 24701-3341 2007-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285083105 Amber Mcclung Pharmacist South View Mall Us Route 52, Bluewell, WV 24701 2016-06-10
1083003909 Kerri Francis Specialist/Technologist 219 Rock Street, Bluefield, WV 24701 2015-01-15
1740524222 Stephanie Michelle Neely Specialist Rt 2 Old Princeton Road, Bluefield, WV 24701 2012-11-21
1649525676 Charles Lohr Pharmacist 2924 E Cumberland Rd, Bluefield, WV 24701 2012-07-16
1508144239 Chastity Leigh Walker Nurse Practitioner 510 Cherry St., Suite 301, Bluefield Primary Care, Bluefield, WV 24701 2011-07-29
1861795338 Tracy Lynn Mathena Pharmacist Us Rt 52 N, Bluewell, WV 24701 2010-12-06
1972810125 Bluefield Clinic Company LLC Clinic/Center 154 Majestic Place, Bluefield, WV 24701 2010-09-09
1477885804 Pearle Vision Inc Eyewear Supplier (Equipment, not the service) Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 2010-02-10
1629257522 Robert Martin Mustard II Technician/Technologist 210 1/2 North Street, Bluefield, WV 24701 2007-10-26
1952596603 Bluefield Int & Cardio Internal Medicine 1331 Southview Drive, Suite 5, Bluefield, WV 24701 2007-09-06
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982831269 Digestive Health Services Pllc Internal Medicine 510 Cherry St, Ste. 202, Bluefield, WV 24701-3338 2009-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982134508 Future Medical, Pllc Internal Medicine 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 2017-06-15
1619307402 Raleigh General Hospital LLC Internal Medicine 1717 Harper Rd Fl 2, Beckley, WV 25801-3373 2013-11-15
1184934952 Shailendra Singh Internal Medicine 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 2010-10-14
1558687111 Hamza Walid Shah Internal Medicine 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 2010-04-07
1619170693 Mark Thomas Voellinger Internal Medicine 2115 Chapline St Ste 101, Wheeling, WV 26003-3859 2007-06-07
1760691596 Logan Gastroenterology Internal Medicine 6 Woodcrest Ln, Charleston, WV 25314-2472 2007-05-21
1205995701 Mohamad B. Haffar Internal Medicine 117 7th Ave, South Charleston, WV 25303-1417 2006-12-08
1881778611 Joann A Okeefe Internal Medicine 1000 Mon Health Medical Park Dr Ste 1101, Morgantown, WV 26505-1143 2006-10-25
1932201985 Richard Boyd Peterson Internal Medicine 424 Division St, Suite 100, South Charleston, WV 25309-1400 2006-09-01
1780692277 Harry Earl Duncan Jr. Internal Medicine 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 2006-08-03
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Competitor

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City BLUEFIELD
Zip Code 24701

Improve Information

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Dataset Information

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.

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