DR. DOMINIC JOSEPH GAZIANO M.D.
NPI 1629155171
Specialist in Charleston, WV

Q: What is Dominic Gaziano's NPI number?

The NPI number for Dominic Gaziano is 1629155171. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Dominic Gaziano's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dominic Gaziano was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS Enrolled

3100 MACCORKLE AVE SE, SUITE 404, CHARLESTON, WV 25304(304) 346-1811(304) 343-3086 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Dominic Joseph Gaziano M.d. NPPES

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

DR. DOMINIC JOSEPH GAZIANO M.D. (NPI 1629155171) is an individual specialist in Charleston, West Virginia, licensed in West Virginia (08871) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629155171

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. DOMINIC JOSEPH GAZIANOCredential: M.D.

Location Address3100 MACCORKLE AVE SE, SUITE 404Charleston, WV 25304-1223

Mailing Address3100 Maccorkle Ave Se, Suite 404Charleston, WV 25304-1223 · (304) 346-1811 · Fax (304) 343-3086

Phone(304) 346-1811

Fax(304) 343-3086

Sole ProprietorYes

Enumeration DateNovember 1, 2006

Last NPPES UpdateFebruary 28, 2013

✔ NPI 1629155171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WV · 08871

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.

3100 MACCORKLE AVE SE, Charleston, WV 25304

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Other Identifiers 2

Medicare ID-Type UnspecifiedGA0176471WV

Medicaid6002854WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominic Joseph Gaziano M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. GANPAT GOPALJI THAKKER M.D.

Internal Medicine (Cardiovascular Disease)

3100 MACCORKLE AVE SE, SUITE 902
CHARLESTON, WV 25304

Kanawha County (304) 345-5460

MR. M. SALIM RATNANI MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3100 MACCORKLE AVE SE, SUITE 811
CHARLESTON, WV 25304

Kanawha County (304) 720-1875

MR. HUMAYUN RASHID MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304

Kanawha County (304) 343-7576

MR. KATHLEEN A MANNION PA

Physician Assistant

3100 MACCORKLE AVE SE, SUITE 411
CHARLESTON, WV 25304

Kanawha County (304) 343-7576

GEORGE L ZALDIVAR, M.D., LTD.

Internal Medicine (Pulmonary Disease)

3100 MACCORKLE AVE SE, SUITE 404
CHARLESTON, WV 25304

Kanawha County (304) 346-1811

NANCY RABEL CANTERBURY MA

Psychologist (Clinical)

3100 MACCORKLE AVE SE, SUITE 401
CHARLESTON, WV 25304

Kanawha County (304) 346-6161

STEVEN ROBERT MATULIS MD

Internal Medicine (Gastroenterology)

3100 MACCORKLE AVE SE, SUITE 509
CHARLESTON, WV 25304

Kanawha County (304) 342-0821

MRS. STACY ANNETTE CHURCH PA-C

Physician Assistant (Medical)

3100 MACCORKLE AVE SE, SUITE 610
CHARLESTON, WV 25304

Kanawha County (304) 346-1141

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 Dominic Gaziano's NPI number?

The NPI number for Dominic Gaziano is 1629155171. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Dominic Gaziano located?

Dominic Gaziano practices at 3100 Maccorkle Ave SE Suite 404, Charleston, WV 25304. The listed phone number is (304) 346-1811.

What is Dominic Gaziano's specialty?

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

Is Dominic Gaziano enrolled in Medicare?

Yes. Dominic Gaziano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Gaziano was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.