BANDAK PLASTIC SURGERY PLLC
NPI 1457564213
Surgery - Plastic and Reconstructive Surgery in Charleston, WV
NPI Status: Active since May 08, 2007
Contact Information
4920 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-4665
Fax: (304) 925-4666
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 51D2216430
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-11-2027
About BANDAK PLASTIC SURGERY PLLC
This page provides the complete NPI Profile along with additional information for Bandak Plastic Surgery Pllc, a provider established in Charleston, West Virginia operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1457564213 assigned on May 2007. The practitioner's primary taxonomy code is 2086S0122X with license number 21839 (WV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Abdalla Z Bandak M.d. (Owner)
- NPI
- 1457564213
- Provider Name
- BANDAK PLASTIC SURGERY PLLC
- Entity Type
- Organization
- Location Address
- 4920 MACCORKLE AVE SE CHARLESTON, WV 25304
- Location Phone
- (304) 925-4665
- Location Fax
- (304) 925-4666
- Mailing Address
- 4920 MACCORKLE AVE SE CHARLESTON, WV 25304
- Mailing Phone
- (304) 925-4665
- Mailing Fax
- (304) 925-4666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21839
- License State
- WV
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
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.
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 this NPI number is:
- CLIA Number
- 51D2216430
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 12, 2025
- Certificate Expiration Date
- March 11, 2027
- Laboratory Director
- DR. ABDALLA Z. BANDAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bandak Plastic Surgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BANDAK PLASTIC SURGERY PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457564213, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CHARLESTON, WV 25304
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457564213, enumerated as an "organization" on May 08, 2007.
The provider is located at 4920 MACCORKLE AVE SE CHARLESTON, WV 25304 and the phone number is (304) 925-4665.
Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.
