| NPI | 1093869968 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-22 |
| Last Updated | 2007-11-21 |
| Authorized Official | Kamalesh Patel Owner Phone: 3044257243 |
| Mailing Address | 405 12th Street Ext Princeton, WV 24740-2300 United States Phone: (304) 425-7243 | Fax: (304) 487-3525 📍 View Map |
| Primary Practice Address | 405 12th Street Ext Princeton, WV 24740-2300 United States Phone: (304) 425-7243 | Fax: (304) 487-3525 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | WV | 1807132 | BlueCross BlueShield |
| MEDICAID | WV | 3810004352 | — |
| Other (non-Medicare) | WV | CK3736 | RailRoad Medicare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | — | — |
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About NPI 1093869968
Bluefield Gastroenterology Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093869968. The primary specialty listed is Specialist. The organization is located in Princeton, WV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093869968?
NPI 1093869968 belongs to Bluefield Gastroenterology Pllc, a Specialist in Princeton, WV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093869968 active?
The current status of NPI 1093869968 in the NPPES registry is Active. The record was last updated on 2007-11-21.
What specialty is NPI 1093869968?
NPI 1093869968 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093869968?
You can verify NPI 1093869968 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093869968?
The primary practice address on file for NPI 1093869968 is 405 12th Street Ext, Princeton, WV 24740-2300. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093869968 issued?
NPI 1093869968 was first issued (enumerated) on 2007-01-22. The NPPES record was last updated on 2007-11-21.
Practice Location Map
Bluefield Gastroenterology Pllc is located at 405 12th Street Ext, Princeton, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bluefield Gastroenterology Pllc. All records sourced from the CMS NPPES registry.