KURUVILLA JOHN, MD, INC. (NPI# 1548314230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548314230 |
| Entity Type | Organization |
| Organization Name | KURUVILLA JOHN, MD, INC. |
| Practice Address |
401 Division St Suite 104 South Charleston WV 25309-1455 |
| Practice Telephone | 3047677880 |
| Practice Fax Number | 3047677885 |
| Mailing Telephone | 3047677880 |
| Mailing Fax Number | 3047677885 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KURUVILLA JOHN (PRESIDENT) |
| Authorized Official Telephone | 3047677880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
16097 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0089936000 | 05 |
| Street Address |
401 DIVISION ST SUITE 104 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741880 | Narender Rao Jogenpally | Internal Medicine | 401 Division St, Ste 100, South Charleston, WV 25309-1455 | 2005-06-21 |
| 1144770157 | Katrina Walker | Nurse Practitioner | 401 Division St, Suite 205, South Charleston, WV 25309-1455 | 2016-10-13 |
| 1427480953 | South Charleston Family Medicine | Family Medicine | 401 Division St, Ste 205, South Charleston, WV 25309-1455 | 2013-08-07 |
| 1437407376 | Summit Orthopedics | Specialist | 401 Division St, Suite 104, South Charleston, WV 25309-1455 | 2012-08-27 |
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1124274303 | John Ponugupati | Internal Medicine | 401 Division St, Suite 100, South Charleston, WV 25309-1455 | 2008-08-07 |
| 1326256124 | Wvupc Kanawha Valley Fp (lab) | Clinical Medical Laboratory | 401 Division St, Suite 205, South Charleston, WV 25309-1455 | 2007-05-18 |
| 1780800110 | Nicole Wiley | Family Medicine | 401 Division St, Suite 205, South Charleston, WV 25309 | 2007-04-17 |
| 1659419653 | Bali Surgical Practice Pllc | Surgery | 401 Division St, Suite 202, South Charleston, WV 25309-1455 | 2007-02-02 |
| 1467522185 | Elma Z Bernardo Md and Associates Inc | Psychiatry & Neurology | 401 Division St, Suite 203, South Charleston, WV 25309-1455 | 2006-11-09 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306097860 | Rita Gandhy | Psychiatry & Neurology | 500 Poplar Street, Ste 202, South Charleston, WV 25309 | 2008-10-02 |
| 1497944136 | Neurology & Pain Center Pllc | Psychiatry & Neurology | 500 Poplar St, Suite 201, South Charleston, WV 25309-1474 | 2007-10-18 |
| 1821029232 | Sally H Swisher | Psychiatry & Neurology | 401 Division St, Suite 302, South Charleston, WV 25309-1455 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614512 | Synoptic Neurosciences Institute Inc | Psychiatry & Neurology | 1200 Harrison Ave Ste 146, Elkins, WV 26241 | 2017-04-28 |
| 1508245572 | Vasile Nicolae Popa | Psychiatry & Neurology | 1256 N Eisenhower Dr Ste 700, Beckley, WV 25801-3120 | 2015-05-24 |
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1679716823 | James H. Sherry | Psychiatry & Neurology | 740 Cobun Creek Rd, Suite 1, Morgantown, WV 26508-3827 | 2009-04-16 |
| 1043489776 | Georgianna M Richards | Psychiatry & Neurology | 415 Carriage Dr, Beckley, WV 25801-2805 | 2008-02-27 |
| 1760506018 | Mouhannad Azzouz | Psychiatry & Neurology | 1325 Locust Ave Fl 3, Fairmont, WV 26554-1435 | 2007-03-19 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1457457723 | Alvaro R. Gutierrez | Psychiatry & Neurology | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2006-09-15 |
| 1063517753 | Panhandle Neurology Center, Inc. | Psychiatry & Neurology | 156 Health Care Ln, Martinsburg, WV 25401-4009 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.