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KANAWHA SURGICENTER
NPI 1619038676
Specialist in Charleston, WV

Active since December 13, 2006
4803 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-6390(304) 925-7931 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanawha Surgicenter NPPES

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

KANAWHA SURGICENTER (NPI 1619038676) is a healthcare organization registered as a specialist in Charleston, West Virginia and active in the NPI registry since December 2006. The organization lists Gorli Harish, Md, as its authorized official.

NPPES Registry Identity

NPI1619038676
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKANAWHA SURGICENTER
Location Address4803 MACCORKLE AVE SECharleston, WV 25304-1948
Mailing Address4803 Maccorkle Ave SeCharleston, WV 25304-1948 · (304) 925-6390 · Fax (304) 925-7931
Phone(304) 925-6390
Fax(304) 925-7931
Organization SubpartNo
Authorized OfficialGorli HarishMd · (304) 925-6390
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619038676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WV · 10453
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4803 MACCORKLE AVE SE, Charleston, WV 25304
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Other Names 1

Former Legal Business NameKanawha Surgicenter

Other Identifiers 1

Medicaid0009812000WV

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KANAWHA SURGICENTER
Clinical Medical Laboratory
4803 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 925-6390
CARLY ALEXA SCALA RDH
Dental Hygienist
4803 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 467-4265

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 Kanawha Surgicenter's NPI number?

The NPI number for Kanawha Surgicenter is 1619038676. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Kanawha Surgicenter located?

Kanawha Surgicenter is located at 4803 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-6390.

What is Kanawha Surgicenter's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kanawha Surgicenter was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.