SALVADOR C. PORTUGAL MD, INC. (NPI# 1639296577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639296577 |
| Entity Type | Organization |
| Organization Name | SALVADOR C. PORTUGAL MD, INC. |
| Practice Address |
400 Division St Suite 9 South Charleston WV 25309-1459 |
| Mailing Address |
Po Box 9288 South Charleston WV 25309-0288 |
| Practice Telephone | 3047663482 |
| Mailing Telephone | 3047663482 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SALVADOR C PORTUGAL (PRESIDENT) |
| Authorized Official Telephone | 3047663482 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 13580 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
400 DIVISION ST SUITE 9 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242557 | Abdul Karim Katrib | Specialist | 400 Division St, Suite 12, South Charleston, WV 25309-1459 | 2005-08-16 |
| 1750734661 | Ashley Ebersole Mellert | Physician Assistant | 400 Division St, Suite 6, South Charleston, WV 25309-1459 | 2016-07-14 |
| 1710183504 | Dr Tara F Ray Psychiatric Servcies, Pllc | Psychiatry & Neurology | 400 Division St, Suite 3, South Charleston, WV 25309-1459 | 2007-06-27 |
| 1174696983 | Julie Anne Testman | Pharmacist | 400 Division St, Suite 10, South Charleston, WV 25309-1459 | 2006-11-17 |
| 1033152418 | Tara Fawn Ray | Psychiatry & Neurology | 400 Division St, Suite 3, South Charleston, WV 25309-1459 | 2006-06-14 |
| 1184682171 | Salvador C. Portugal | Otolaryngology | 400 Division St, Suite 9, South Charleston, WV 25309-1459 | 2006-05-02 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184682171 | Salvador C. Portugal | Otolaryngology | 400 Division St, Suite 9, South Charleston, WV 25309-1459 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861781510 | Christopher Eric Bailey | Otolaryngology | 1 Medical Center Drive, Room 4520, Box 9200, Morgantown, WV 26506-9200 | 2011-04-04 |
| 1336349109 | Tanya Fancy | Otolaryngology | Room 4520, Hsc South, Morgantown, WV 26506-9200 | 2007-07-20 |
| 1649477662 | Sohrab Shahab | Otolaryngology | 2000 Foundation Way Ste 3200, Martinsburg, WV 25401-9199 | 2007-07-02 |
| 1245329705 | Garrison V. Morin Dba Mountain State Ent Center | Otolaryngology | 321 Lutz Ave, Suite A, Martinsburg, WV 25404-6362 | 2006-10-12 |
| 1235233784 | Raymond A Hinerman | Otolaryngology | 30 Medical Park Ste 223, Wheeling, WV 26003-6391 | 2006-09-12 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1740238765 | Prudencio C Corro | Otolaryngology | 673 Ritter Dr, Glen Morgan, WV 25813-7707 | 2006-05-04 |
| 1013984525 | Mark F Sheridan | Otolaryngology | #3 Stonecrest Dr, Huntington, WV 25701 | 2006-03-02 |
| 1619944477 | Phillip R Stevens | Otolaryngology | #3 Stonecrest Drive, Huntington, WV 25701 | 2006-03-01 |
| 1306817689 | Christopher L White | Otolaryngology | 231 Dawkins Dr, Lewisburg, WV 24901-9674 | 2006-01-27 |
| 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.