Active NPI
Gudjon Karlsson, MD
- Interventional Cardiology Physician
- Huntington, WV
National Provider Identifier
1235558339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25239
- Practice address
- 5170 US Route 60
Huntington, WV 25705-2004 - Phone
- (304) 528-4600
- NPI assigned
- Apr 16, 2014
- 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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 25239 | WV | Primary |
Addresses
Primary practice location
5170 US Route 60
Huntington, WV 25705-2004
Mailing address
5170 US Route 60
Huntington, WV 25705-2004
Phone (304) 528-4600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GudjonKarlsson@himg.directbygreenway.com |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Medical Center, Inc. | Interventional Cardiology | Current | Accepting new patients |
| St. Mary'S Medical Center Inc | Current | Accepting new patients |
Locations
3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004
2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111
147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002
Interoperability endpoints
- gudjonkarlsson@himg.directbygreenway.com
- https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1104681485
Interventional Cardiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1235558339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052004",
"telephone_number": "304-528-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052004",
"telephone_number": "304-528-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARLSSON",
"first_name": "GUDJON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "WV",
"license": "25239",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GudjonKarlsson@himg.directbygreenway.com",
"affiliation": "N",
"address_1": "5170 US Route 60",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257052004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.