Organization Active NPI

George L Zaldivar, M.D., LTD.

  • Pulmonary Disease Physician
  • Charleston, WV
National Provider Identifier
1255309670
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10054 Issued in WV
Legal business name
GEORGE L ZALDIVAR, M.D., LTD.
Practice address
3100 Maccorkle Ave SE
Suite 404
Charleston, WV 25304-1223
Phone
(304) 346-1811
Fax
(304) 343-3086
NPI assigned
Mar 10, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
George L Zaldivar, M.D.NPI 1033308994
Title
President
Phone
(304) 346-1811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 10054 WV Primary

Addresses

Primary practice location

3100 Maccorkle Ave SE
Suite 404
Charleston, WV 25304-1223

Mailing address

3100 Maccorkle Ave SE
Suite 404
Charleston, WV 25304-1223
Phone (304) 346-1811

National Provider Directory

National Provider Directory

Locations

3100 Maccorkle Ave SE
Ste 404
Charleston, WV 25304
Phone (304) 346-1811

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1255309670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 404",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-346-1811",
            "fax_number": "304-343-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE SE",
            "address_2": "SUITE 404",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-346-1811",
            "fax_number": "304-343-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE L ZALDIVAR, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "ZALDIVAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-346-1811",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "10054",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.