Active NPI
Alfredo C Velasquez MD PLLC
- Specialist
- Charleston, WV
National Provider Identifier
1194028373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9189
- Legal business name
- ALFREDO C VELASQUEZ MD PLLC
- Practice address
- 209 Washington St W
Charleston, WV 25302-2345 - Phone
- (304) 345-3378
- Fax
- (304) 344-4420
- NPI assigned
- Dec 10, 2010
- 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
- Mr. Alfredo C Velasquez, MD
- Title
- Doctor
- Phone
- (304) 345-3378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9189 | WV | Primary |
Addresses
Primary practice location
209 Washington St W
Charleston, WV 25302-2345
Mailing address
209 Washington St W
Charleston, WV 25302-2345
Phone (304) 345-3378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089466000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
209 Washington St W
#100
Charleston, WV 25302
Phone (304) 344-8000
22 W 2nd Ave
Williamson, WV 25661
Phone (304) 235-0222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chapmanville, WV
- NPI 1902948722
-
- Urology Physician
- Williamson, WV
- NPI 1083644702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1194028373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022345",
"telephone_number": "304-345-3378",
"fax_number": "304-344-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022345",
"telephone_number": "304-345-3378",
"fax_number": "304-344-4420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALFREDO C VELASQUEZ MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-10",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "ALFREDO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "304-345-3378",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WV",
"license": "9189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089466000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.