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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | DEA | AM1743764 | 01 |
MEDICARE PTAN | 9383331 | 01 |
Street Address |
510 CHERRY STREET |
City | BLUEFIELD |
State | WV |
Zip Code | 24701-9999 |
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 |
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 |
Find all providers in zip 24701 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982831269 | Digestive Health Services Pllc | Internal Medicine | 510 Cherry St, Ste. 202, Bluefield, WV 24701-3338 | 2009-06-15 |
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 |
Find all providers with the same taxonomy |
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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.