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

Active since February 21, 2006
3100 MACCORKLE AVE, SUITE 709, CHARLESTON, WV 25304(304) 342-1184(304) 343-8487 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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
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

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

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
3100 MACCORKLE AVE, SUITE 709
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE, SUITE 509
CHARLESTON, WV 25304
Specialist
3100 MACCORKLE AVE, SUITE 808
CHARLESTON, WV 25304
Pharmacist (Pharmacotherapy)
3100 MACCORKLE AVE, SUITE 101
CHARLESTON, WV 25304
Specialist
3100 MACCORKLE AVE, SUITE201
CHARLESTON, WV 25304
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3100 MACCORKLE AVE, SUITE 810
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3100 MACCORKLE AVE, SUITE 700
CHARLESTON, WV 25304
Family Medicine
3100 MACCORKLE AVE
CHARLESTON, WV 25304

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 Charleston Cardiology Group PLLC's NPI number?

The NPI number for Charleston Cardiology Group PLLC is 1770558165. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Charleston Cardiology Group PLLC located?

Charleston Cardiology Group PLLC is located at 3100 Maccorkle Ave Suite 709, Charleston, WV 25304. The listed phone number is (304) 342-1184.

What is Charleston Cardiology Group PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Charleston Cardiology Group PLLC 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.