BALI SURGICAL PRACTICE PLLC (NPI# 1659419653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659419653 |
| Entity Type | Organization |
| Organization Name | BALI SURGICAL PRACTICE PLLC |
| Practice Address |
401 Division St Suite 202 South Charleston WV 25309-1455 |
| Practice Telephone | 3047677800 |
| Practice Fax Number | 3047677805 |
| Mailing Telephone | 3047677800 |
| Mailing Fax Number | 3047677805 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-12-12 |
| Authorized Official Name | AHMAD BALI (PHYSICIAN) |
| Authorized Official Telephone | 3047677800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
21044 | WV | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 21044 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | INDIVIUAL NPI | 1689670069 | 01 |
| WV | 3810009656 | 05 |
| Street Address |
401 DIVISION ST SUITE 202 |
| 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 |
| 1548314230 | Kuruvilla John, Md, Inc. | Psychiatry & Neurology | 401 Division St, Suite 104, South Charleston, WV 25309-1455 | 2007-01-22 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973096 | Michael M Boustany | Surgery | 434 Division St, South Charleston, WV 25309 | 2005-06-22 |
| 1538781703 | Premier Surgical Assist, Inc. | Surgery | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2020-05-11 |
| 1003013681 | Comprehensive Surgical Associates Pllc | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-06-28 |
| 1255537999 | Johnna Michelle Jackson | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-06-21 |
| 1942429790 | Kristen Price Eads | Surgery | 500 Poplar St, Suite 304, South Charleston, WV 25309-1474 | 2007-04-24 |
| 1568426310 | Delphi Healthcare Partners, Inc. D/b/a South Charleston Surgicalists | Surgery | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2006-04-17 |
| 1689670069 | Ahmad Bali | Surgery | 401 Division St, Suite 202, South Charleston, WV 25309-1455 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417476920 | Raleigh General Hospital LLC | Surgery | 1717 Harper Rd Ste Ab, Beckley, WV 25801-3373 | 2017-09-15 |
| 1043690712 | Onyechi Megafu | Surgery | 2900 1st Ave Ste 210, Huntington, WV 25702-1241 | 2015-06-08 |
| 1548653892 | Parinya Taupradist | Surgery | 1909 Woodside Cir, Charleston, WV 25314-2255 | 2015-03-11 |
| 1730437716 | Akkary Center for Weight Management & Surgical Services | Surgery | 1100 Fort Pierpont Dr, Morgantown, WV 26508-1329 | 2012-08-21 |
| 1669735890 | Semeret Tadios Munie | Surgery | 1115 20th St Ste 101, Huntington, WV 25703-2071 | 2012-06-22 |
| 1780962704 | Pineview Surgery Pllc | Surgery | 1311 Pineview Dr Ste 200, Morgantown, WV 26505-3276 | 2011-07-25 |
| 1659685246 | Suratkal V Shenoy Md PC | Surgery | Rt 220 South and Staggs Lane, Keyser, WV 26726 | 2010-08-06 |
| 1467776013 | John Gabriel Maijub | Surgery | 609 22nd St Apt 1431, Huntington, WV 25703-1657 | 2010-03-24 |
| 1417196262 | Fernando Dominguez | Surgery | 507 Forest Road, Huntington, WV 25705 | 2009-02-18 |
| 1497907141 | Porfirio R. Pascasio | Surgery | 2880 North Pleasant Highway, St. Mary's Correctional Center, St. Mary, WV 26170 | 2008-10-14 |
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| 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.