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CHESAPEAKE MEDICAL CENTER
NPI 1316492200
Nurse Practitioner - Family in Charleston, WV

Active since August 20, 2016CLIA 51D1023446 · Waiver
310 35TH ST SE, SUITE 11, CHARLESTON, WV 25304(304) 720-9595(304) 720-9596 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chesapeake Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESAPEAKE MEDICAL CENTER (NPI 1316492200) is a healthcare organization registered as a family in Charleston, West Virginia and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Marcie Reed, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1316492200
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCHESAPEAKE MEDICAL CENTER
Location Address310 35TH ST SE, SUITE 11Charleston, WV 25304-1352
Mailing Address310 35th St Se, Suite 11Charleston, WV 25304-1352 · (304) 720-9595 · Fax (304) 720-9596
Phone(304) 720-9595
Fax(304) 720-9596
Organization SubpartNo
Authorized OfficialMarcie ReedPractice Manager · (304) 720-9595
Enumeration DateAugust 20, 2016
✔ NPI 1316492200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN82678-FNP-BC
310 35TH ST SE, Charleston, WV 25304
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D1023446

Chesapeake Medical Center · Charleston, WV
Active · expires Mar 16, 2028
CLIA Number51D1023446
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Ghali I. Bacha
Laboratory Phone(304) 720-9595
Laboratory LocationChesapeake Medical Center400 S Ruffner Road, Charleston, WV 25314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENVISION OPTICAL
Eyewear Supplier
310 35TH ST SE, SUITE 11
CHARLESTON, WV 25304
Kanawha County (304) 720-3937
CATARACT & REFRACTIVE SURGERY INSTITUTE, INC.
Clinic/Center (Ophthalmologic Surgery)
310 35TH ST SE, SUITE 11
CHARLESTON, WV 25304
Kanawha County (304) 926-0955
MRS. VERA L. HOYLMAN M.D.
Pediatrics
310 35TH ST SE, SUITE 21
CHARLESTON, WV 25304
Kanawha County (304) 925-6970
GHALI IBRAHIM-BACHA MD
Internal Medicine
310 35TH ST SE, SUITE 11
CHARLESTON, WV 25304
Kanawha County (304) 720-9595
CHESAPEAKE MEDICAL CENTER, PLLC
Internal Medicine
310 35TH ST SE, SUITE 11
CHARLESTON, WV 25304
Kanawha County (304) 720-9595
MR. MOUTASSEM B. AYOUBI M.D.
Pediatrics
310 35TH ST SE, SUITE 21
CHARLESTON, WV 25304
Kanawha County (304) 925-6970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chesapeake Medical Center's NPI number?

The NPI number for Chesapeake Medical Center is 1316492200. It was assigned to this organization in the NPPES registry on August 20, 2016.

Where is Chesapeake Medical Center located?

Chesapeake Medical Center is located at 310 35th St SE Suite 11, Charleston, WV 25304. The listed phone number is (304) 720-9595.

What is Chesapeake Medical Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Chesapeake Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D1023446) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesapeake Medical Center was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.