Ahmad B Faridi (NPI# 1760426068, PAC ID# 1153376116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760426068 |
| PAC ID by PECOS | 1153376116 |
| Professional Enrollment ID | I20060728000134 |
| Full Name | Ahmad B Faridi |
| Organization Legal Name | SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES |
| Address |
300 Prosperity Dr Suite 203 Logan WV 25601-0300 |
| Phone Number | 3047528800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | NEPHROLOGY |
| Group Practice PAC ID | 0345421046 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| 180069 | TUG VALLEY ARH REGIONAL MEDICAL CENTER |
| 510077 | WILLIAMSON MEMORIAL HOSPITAL |
| 511313 | BOONE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 | 3047528800 | SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES |
| 300 Prosperity Ln, 105 Wv Dialysis Davita, Logan, WV 25601-3494 | 3047522700 | SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES |
| 203 Applalachian Plaza, South Williamson, KY 41503-0203 | 6062376221 | SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 92% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 0% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 92% | |
| MIPS_EC_047_overall | Care Plan | 0% |
| Organization Legal Name | SOUTHERN WEST VIRGINIA NEPHROLOGY ASSOCIATES |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Kitchen | Nurse Practitioner | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Street Address |
300 PROSPERITY DR SUITE 203 |
| City | LOGAN |
| State | WV |
| Zip | 25601-0300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Marie Payne | Nurse Practitioner | James E. Fox Md Pllc | 300 Prosperity Dr, Suite 103, Knoxville, TN 37923-4717 |
| Lindsey Erin Dunford | Nurse Practitioner | James E. Fox Md Pllc | 300 Prosperity Dr, Suite 103, Knoxville, TN 37923-4717 |
| Courtney S Smith | Nurse Practitioner | James E. Fox Md Pllc | 300 Prosperity Dr, Suite 103, Knoxville, TN 37923-4717 |
| Melissa Kitchen | Nurse Practitioner | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Adel M Hussein | Physical Therapy | Advanced Physical Therapy of Knoxville Inc | 300 Prosperity Dr, Knoxville, TN 37923-4717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karunasree Kanuri | Family Medicine | 1115 2nd Ave, West Logan, WV 25601-3309 | |
| Amber M Ellis | Nurse Practitioner | Living Waters Medical Center | 100 Main Ave, Logan, WV 25601-3323 |
| Jamie L Hall-jasper | Podiatry | 100 Main Ave, Logan, WV 25601-3323 | |
| Douglas K Hibbs | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Jennifer Marie Oneal | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Emad Y Mousa | Obstetrics/gynecology | 77 Hospital Dr, Suite 200, Logan, WV 25601-3451 | |
| Zial Salem | Gastroenterology | Logan General Hospital LLC | 79 Hospital Dr, Logan, WV 25601-3451 |
| Michael B Beres | Ophthalmology | 77 Hospital Dr, Suite 401, Logan, WV 25601-3451 | |
| Safique Ahmed | Hematology/oncology | 77 Hospital Dr, Suite 301, Logan, WV 25601-3451 | |
| Nicole L Dillon | Family Medicine | 77 Hospital Dr, Doctors Park Suite D, Logan, WV 25601-3451 | |
| Find all physicians in zip 25601 | |||
| City | LOGAN |
| Zip Code | 25601 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LOGAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ahmad B Faridi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.