SUZANNE GHARIB MD PLLC (NPI# 1851557284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851557284 |
| Entity Type | Organization |
| Organization Name | SUZANNE GHARIB MD PLLC |
| Practice Address |
4610 Kanawha Avenue Sw Suite 301 South Charleston WV 25309-1311 |
| Practice Telephone | 3047208701 |
| Practice Fax Number | 3047208702 |
| Mailing Telephone | 3047208701 |
| Mailing Fax Number | 3047208702 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | DR. SUZANNE LEE GHARIB (OWNER) |
| Authorized Official Telephone | 3047208701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
23211 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810012855 | 05 |
| Street Address |
4610 KANAWHA AVENUE SW SUITE 301 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1311 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1679500532 | Leah M. Triplett | Internal Medicine | 400 Division St Ste 10, South Charleston, WV 25309-1459 | 2006-06-27 |
| 1396713137 | Thomas William Howard II | Internal Medicine | 4610 Kanawha Ave Sw, Suite 301, South Charleston, WV 25309-1367 | 2006-03-09 |
| 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 |
|---|---|---|---|---|
| 1780002204 | Jennifer M Reams | Internal Medicine | 120 Medical Park Dr Ste 100, Bridgeport, WV 26330-9013 | 2014-04-01 |
| 1255444592 | Mathew W Lively | Internal Medicine | 2195 Cheat Rd Ste 2, Morgantown, WV 26508-4516 | 2006-08-17 |
| 1912939281 | Brian Delaney Houston | Internal Medicine | 1199 Van Voorhis Rd, Ste 5, Morgantown, WV 26505 | 2006-07-07 |
| 1649221532 | David Edward Seaman | Internal Medicine | 1000 Mon Health Medical Park Dr Ste 1104, Morgantown, WV 26505-1143 | 2006-05-15 |
| 1861479784 | Shelly P Kafka | Internal Medicine | 399 Emily Dr, Clarksburg, WV 26301-5505 | 2005-12-30 |
| 1689082109 | Gbemisola Mayokun Olayemi | Internal Medicine | 120 Medical Park Dr Ste 100, Bridgeport, WV 26330-9013 | 2014-07-28 |
| 1689094021 | Sayanika Kaur | Internal Medicine | 600 Suncrest Town Centre Dr, Morgantown, WV 26505-0589 | 2014-04-24 |
| 1114361961 | Charles Matthew Justice | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2013-04-23 |
| 1750724944 | Jamie Christopher Latos | Internal Medicine | 600 Suncrest Town Centre Dr, Morgantown, WV 26505-0589 | 2013-04-08 |
| 1245585207 | Aaradhana Kaul | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2012-07-16 |
| 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.