ELIE G GHARIB (NPI# 1700845559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700845559 |
| Entity Type | Individual |
| Full Name | ELIE G GHARIB |
| Credential | MD |
| Practice Address |
4610 Kanawha Ave Sw Suite 200 South Charleston WV 25309-1367 |
| Mailing Address |
4610 Kanawha Ave, Sw Suite 200 South Charleston WV 25309-1364 |
| Practice Telephone | 3042057992 |
| Practice Fax Number | 3042057739 |
| Mailing Telephone | 3042057992 |
| Mailing Fax Number | 3042057739 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
19778 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
19778 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64033616 | 05 | |
| OH | 2247483 | 05 | |
| WV | 3002421000 | 05 |
| Street Address |
4610 KANAWHA AVE SW SUITE 200 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396713137 | Thomas William Howard II | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2006-03-09 |
| 1750733408 | Renetta Elaine Brewer | Nurse Practitioner | 4610 Kanawha Ave Sw, Suite 402, South Charleston, WV 25309-1367 | 2016-07-06 |
| 1700246220 | Beckley Cardiovascular Specialists Inc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2016-02-25 |
| 1497110019 | Lesa Adkins | Nurse Practitioner | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2015-12-25 |
| 1831536507 | Rheumatology Group, Pllc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2013-06-04 |
| 1386851988 | Suzanne Lee Gharib | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309 | 2007-05-16 |
| 1386650760 | Michael A Istfan | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2006-07-31 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689771149 | Mitchell N. Rashid | Internal Medicine | 4610 Kanawha Ave Sw Ste 200, South Charleston, WV 25309-1367 | 2006-09-19 |
| 1700246220 | Beckley Cardiovascular Specialists Inc | Internal Medicine | 4610 Kanawha Ave Sw, Suite 200, South Charleston, WV 25309-1367 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982143814 | Emilee Huffman | Internal Medicine | 510 Cherry St Ste 101, Bluefield, WV 24701-3336 | 2017-02-12 |
| 1447458401 | Showri Madan Manohar Karnam | Internal Medicine | 600 18th St Ste 512, Parkersburg, WV 26101-3236 | 2007-07-10 |
| 1588711089 | Frank Rivas | Internal Medicine | 1302 4th Ave, Huntington, WV 25701-2401 | 2007-01-05 |
| 1093806259 | Frank Rivas Md Inc | Internal Medicine | 1302 Fourth Ave, Huntington, WV 25704 | 2006-09-27 |
| 1720076334 | Mark C Bates | Internal Medicine | 2345 Chesterfield Ave, Suite 302, Charleston, WV 25304-1062 | 2005-10-07 |
| 1770069163 | Dembal Heart & Vascular Pllc | Internal Medicine | 250 Stanaford Rd, Beckley, WV 25801 | 2018-07-18 |
| 1336632660 | Mountaineer Cardiology Pllc | Internal Medicine | 2345 Chesterfield Ave Ste 302, Charleston, WV 25304-1064 | 2018-06-12 |
| 1699132696 | Wheeling Hospital, Inc. | Internal Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2016-01-21 |
| 1235558339 | Gudjon Karlsson | Internal Medicine | 5170 Us Rt 60 East, Huntington, WV 25705 | 2014-04-16 |
| 1811332737 | Ebrahim Sabbagh | Internal Medicine | 29 Hospital Plz Ste E, Weston, WV 26452-8471 | 2013-05-06 |
| 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.