Organization Active NPI

Charleston Sleep Center PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Charleston, WV
National Provider Identifier
1295945319
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
00045 Issued in WV
Legal business name
CHARLESTON SLEEP CENTER PLLC
Practice address
4500 Maccorkle Ave SE
Charleston, WV 25304-1806
Phone
(304) 981-6046
NPI assigned
May 24, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sammar Atassi, M.D.
Title
Owner
Phone
(304) 981-6046

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

3324 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 367-7342

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 00045 WV Primary

Addresses

NPPES NPI Registry

Primary practice location

4500 Maccorkle Ave SE
Charleston, WV 25304-1806

Mailing address

4500 Maccorkle Ave SE
Charleston, WV 25304-1806
Phone (304) 981-6046

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
6804017000MedicaidWV

Other names 1

NPPES NPI Registry
  • Charleston Sleep Laboratory Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2007.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1295945319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041806",
            "telephone_number": "304-981-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041806",
            "telephone_number": "304-981-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON SLEEP CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "SAMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-981-6046",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "WV",
            "license": "00045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6804017000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Sleep Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 4, 2007; 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.