Nuface Laser & Medispa LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

NUFACE LASER & MEDISPA LLC

Practice address

117 B Goff Mountain Rd
Cross Lanes, WV 25313-1434

Phone

(304) 204-1310

Fax

(304) 204-1311

NPI assigned

May 23, 2006

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arvind Viradia, M.D.NPI 1417947904

Title

President

Phone

(304) 204-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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.

• Arvind Z Viradia, MD

  • Internal Medicine Physician
  • Cross Lanes, WV
  • NPI 1417947904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1184679565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 B GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "25313",
            "telephone_number": "304-204-1310",
            "fax_number": "304-204-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 B GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131434",
            "telephone_number": "304-204-1310",
            "fax_number": "304-204-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUFACE LASER & MEDISPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "VIRADIA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-204-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davona Myers
• Michelle Christine Myers, PHARMD
• New Beginnings Drug Treatment Center
• Carrie G Nichols, RPH
• Delaney Norton
• Roosevelt Oliver
• Carrie Elizabeth Osbourn
• Sabrina Elizabeth Osorio
• Ashley Pack
• Tania Page

• Procedural Dermatology Physician in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Procedural Dermatology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.

Verify at the official NPI Registry.