CHARLESTON CARDIOLOGY GROUP PLLC - NPI 1770558165 - Internal Medicine in Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

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About Charleston Cardiology Group Pllc NPPES

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

CHARLESTON CARDIOLOGY GROUP PLLC (NPI 1770558165) is a healthcare organization registered as a cardiovascular disease in Charleston, West Virginia and active in the NPI registry since February 2006. The organization lists Donald R Lilly, Chairman Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1770558165

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCHARLESTON CARDIOLOGY GROUP PLLC

Location Address3100 MACCORKLE AVE, SUITE 709Charleston, WV 25304-1223

Mailing Address3100 Maccorkle Ave, Suite 709Charleston, WV 25304-1223 · (304) 342-1184 · Fax (304) 343-8487

Phone(304) 342-1184

Fax(304) 343-8487

Organization SubpartNo

Authorized OfficialDonald R LillyChairman Board Of Directors · (304) 342-1184

Enumeration DateFebruary 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1770558165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3100 MACCORKLE AVE, Charleston, WV 25304

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Other Identifiers 1

Medicaid3810004453WV

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