Individual provider Active NPI

Ghassan Y Dagher, MD

  • Ophthalmology Physician
  • Montgomery, WV
National Provider Identifier
1285699405
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12037 Issued in WV
Practice address
401 6TH Ave
Suite 110
Montgomery, WV 25136-2116
Phone
(304) 442-8076
Fax
(304) 442-1348
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12037 WV Primary

Addresses

Primary practice location

401 6TH Ave
Suite 110
Montgomery, WV 25136-2116

Mailing address

PO Box 180
Montgomery, WV 25136-0180
Phone (304) 442-8076

Other identifiers 1

IdentifierTypeStateIssuer
0096645000MedicaidWV

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000580 WV Practitioner - Ophthalmology 9830207893 Practice locations: Montgomery, WV

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 6TH Ave
Suite 110
Montgomery, WV 25136-2116
Phone (304) 442-8076

401 6TH Ave
Suite 110 P O Box 180
Montgomery, WV 25136-0180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12037WVMDOphthalmology Physician

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Montgomery General Hospital, IncMontgomery, WV, CCN 511318 Hospital Corporate Director Nov 5, 2010
Montgomery General Hospital, IncMontgomery, WV, CCN 51Z318 Hospital Corporate Director May 21, 2009
Montgomery Rehab and NursingMontgomery, WV, CCN 515152 Skilled nursing facility Corporate Director Mar 19, 2012

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1285699405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251360180",
            "telephone_number": "304-442-8076",
            "fax_number": "304-442-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 6TH AVE",
            "address_2": "SUITE 110",
            "city": "MONTGOMERY",
            "state": "WV",
            "postal_code": "251362116",
            "telephone_number": "304-442-8076",
            "fax_number": "304-442-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGHER",
        "first_name": "GHASSAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096645000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, WV

Sources for this page

Verify at the official NPI Registry.