Active NPI
Mid-Ohio Valley Nephrology Association
- Nephrology Physician
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 20965
- Legal business name
- MID-OHIO VALLEY NEPHROLOGY ASSOCIATION
- Practice address
- 800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100 - Phone
- (304) 834-3970
- Fax
- (304) 916-1871
- NPI assigned
- Jan 26, 2015
- Last updated
- Jan 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rabina Malik-Hamirani, M.D.
- Title
- Co-Owner
- Phone
- (304) 834-3970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25689 | WV | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 25689 | WV | |
| Nephrology Physician | 207RN0300X | 20965 | WV | Primary |
Addresses
Primary practice location
800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100
Mailing address
800 Grand Central Mall
Suite 9
Vienna, WV 26105-4100
Phone (304) 834-3970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
Enrollment records 2
National Provider Directory
National Provider Directory- Tax ID family
- Mid-Ohio Valley Nephrology Association
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Parkersburg, WV
- NPI 1659578201
Locations
425 Matthew St
Marietta, OH 45750
Phone (304) 834-3970
425 Matthew St
Marietta, OH 45750
Phone (304) 834-3970
800 Grand Central Mall
Ste 9
Vienna, WV 26105
Phone (304) 834-3970
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Vienna, WV
- NPI 1831159896
-
- Family Nurse Practitioner
- Dublin, OH
- NPI 1265829105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1073903373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL",
"address_2": "SUITE 9",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-834-3970",
"fax_number": "304-916-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 GRAND CENTRAL MALL",
"address_2": "SUITE 9",
"city": "VIENNA",
"state": "WV",
"postal_code": "261054100",
"telephone_number": "304-834-3970",
"fax_number": "304-916-1871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-OHIO VALLEY NEPHROLOGY ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-26",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "MALIK-HAMIRANI",
"authorized_official_first_name": "RABINA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "304-834-3970",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WV",
"license": "25689",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WV",
"license": "25689",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "WV",
"license": "20965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.