CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC NPI 1003017823
Internal Medicine (Nephrology) in South Charleston, WV
About CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC
Charleston Nephrology Hypertension And Transplant, Pllc is an internal medicine provider established in South Charleston, West Virginia specializing in internal medicine (nephrology) . The NPI number of Charleston Nephrology Hypertension And Transplant, Pllc is 1003017823 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RN0300X with license number 22697 (WV). The provider is registered as an organization and their NPI record was last updated one year ago. Charleston Nephrology Hypertension And Transplant, Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Abdul Rahman Zanabli M.d. (Medical Director)
An internist like Charleston Nephrology Hypertension And Transplant, Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
The CLIA number of Charleston Nephrology Hypertension And Transplant, Pllc is 51D1074475 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Charleston Nephrology Hypertension And Transplant, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
| NPI | 1003017823 |
| Provider Name | CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC |
| Provider Location Address | 4825 MACCORKLE AVE SW SUITE A SOUTH CHARLESTON, WV 25309 |
| Provider Mailing Address | 4825 MACCORKLE AVE SW SUITE A SOUTH CHARLESTON, WV 25309 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 05-30-2007 |
| Last Update Date | 06-16-2020 |
Primary Taxonomy
| Taxonomy Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| License No. | 22697 |
| License State | WV |
| Taxonomy Description | An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Business Address
CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC
4825 MACCORKLE AVE SW
SUITE A
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 400-4700
Fax: (304) 693-2606
Mailing Address
CHARLESTON NEPHROLOGY HYPERTENSION AND TRANSPLANT, PLLC
4825 MACCORKLE AVE SW
SUITE A
SOUTH CHARLESTON, WV
ZIP 25309
Phone: (304) 400-4700
Fax: (304) 693-2606
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003017823 is:
| CLIA Number | 51D1074475 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate for Provider-Performed Microscopy Procedures (PPMP) |
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 3810010603 | MEDICAID (05) | WV |
| 001953144 | OTHER (01) | WV |
Other Providers at the same location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124108006 | MR. WALTER ANDREW COUNTS M.A., L.P.C. Individual | Counselor (Professional) | 4825 MACCORKLE AVE SW SUITE D SOUTH CHARLESTON, WV 25309 (304) 766-4583 |
| 1003987199 | MS. PAULETTE SUSAN JUSTICE LPC, LCSW Individual | Counselor (Professional) | 4825 MACCORKLE AVE SW SOUTH CHARLESTON, WV 25309 (304) 766-4572 |
| 1790028744 | HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 4825 MACCORKLE AVE SW SUITE D SOUTH CHARLESTON, WV 25309 (304) 766-4560 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.