Active NPI
David Abramowitz, M.D.
- Diagnostic Radiology Physician
- South Charleston, WV
National Provider Identifier
1164425542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14458
- Practice address
- 4605 Maccorkle Ave SW
South Charleston, WV 25309-1311 - Phone
- (304) 766-3600
- Fax
- (304) 343-4626
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 14458 | WV | Primary |
Addresses
Primary practice location
4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Mailing address
PO Box 840
Lima, OH 45802-0840
Phone (877) 574-7116
Other practice location 1
333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6500
Other practice location 2
4800 MacCorkle Ave SW
South Charleston, WV 25309-1332
Phone (304) 767-7730
Other practice location 3
1021 Quarrier St
Suite 301
Charleston, WV 25301-2338
Phone (304) 343-4625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119504000 | Medicaid | WV | |
| 001718793 | Other | WV | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Sonoimaging, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Radiology Clinic/Center
- Charleston, WV
- NPI 1871734558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1164425542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "LIMA",
"state": "OH",
"postal_code": "458020840",
"telephone_number": "877-574-7116",
"fax_number": "419-223-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091311",
"telephone_number": "304-766-3600",
"fax_number": "304-343-4626"
}
],
"practiceLocations": [
{
"address_1": "333 Laidley St",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011614",
"country_code": "US",
"telephone_number": "304-347-6500",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 MacCorkle Ave SW",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253091332",
"country_code": "US",
"telephone_number": "304-767-7730",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1021 Quarrier St",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253012338",
"country_code": "US",
"telephone_number": "304-343-4625",
"fax_number": "304-343-4626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAMOWITZ",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "14458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119504000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001718793",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.