Active NPI
Mazen Nashed, M.D.
- Cardiovascular Disease Physician
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- WV19485A
- Practice address
- 527 Medical Park Drive
Suite 204
Bridgeport, WV 26330 - Phone
- (304) 933-3800
- Fax
- (304) 933-3815
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | WV19485A | WV | Primary |
Addresses
Primary practice location
527 Medical Park Drive
Suite 204
Bridgeport, WV 26330
Mailing address
527 Medical Park Drive
Suite 204
Bridgeport, WV 26330
Phone (304) 933-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0640002000 | Medicaid | WV | |
| 000505915 | Other | WV | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV19485A | WV | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| United Hospital Center | Cardiovascular Disease | Current | Accepting new patients |
| Associated Specialists, Inc. | Current | Accepting new patients |
Locations
327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000
527 Medical Park Dr
Ste 204
Bridgeport, WV 26330
Phone (304) 623-5711
1370 Johnson Ave
Ste 201
Bridgeport, WV 26330
Phone (681) 342-3730
200 Route 98 W St
Ste 107
Nutter Fort, WV 26301
Phone (304) 623-5711
Interoperability endpoints
- mazen.nashed@asidrs.directbygreenway.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Bridgeport, WV
- NPI 1427165596
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
Cardiovascular Disease
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1669501144
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1124114574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DRIVE",
"address_2": "SUITE 204",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 MEDICAL PARK DRIVE",
"address_2": "SUITE 204",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "26330",
"telephone_number": "304-933-3800",
"fax_number": "304-933-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASHED",
"first_name": "MAZEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "WV19485A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0640002000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000505915",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.