NPIMap

Organization Active NPI

Internal Medicine of Bluefield, PLLC

  • Legal Medicine
  • Bluefield, WV
National Provider Identifier
1023144458
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
09514 Issued in WV
Legal business name
INTERNAL MEDICINE OF BLUEFIELD, PLLC
Practice address
1331 Southview Dr
Suite 1
Bluefield, WV 24701-4320
Phone
(304) 325-8307
Fax
(304) 323-1888
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mario S Cardona, M.D.
Title
Physician
Phone
(304) 325-8307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 09514 WV Primary

Addresses

Primary practice location

1331 Southview Dr
Suite 1
Bluefield, WV 24701-4320

Mailing address

PO Box 99
Bluefield, WV 24701-0099
Phone (304) 325-8307

National Provider Directory

National Provider Directory

Locations

1331 Southview Dr
Ste 1
Bluefield, WV 24701
Phone (304) 325-8307

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1023144458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010099",
            "telephone_number": "304-325-8307",
            "fax_number": "304-323-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 SOUTHVIEW DR",
            "address_2": "SUITE 1",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247014320",
            "telephone_number": "304-325-8307",
            "fax_number": "304-323-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF BLUEFIELD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-325-8307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "WV",
            "license": "09514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.