Raleigh Heart Clinic Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16708 Issued in WV

Legal business name

RALEIGH HEART CLINIC INC

Practice address

304 Carriage Dr
Raleigh Heart Clinic Inc
Beckley, WV 25801

Phone

(304) 254-0892

Fax

(304) 254-0893

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thair A Barghouthi, MDNPI 1073630125

Title

Owner

Phone

(304) 254-0892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Thair A Barghouthi, MD

  • Cardiovascular Disease Physician
  • Beckley, WV
  • NPI 1073630125
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396852984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-254-0892",
            "fax_number": "304-254-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CARRIAGE DR",
            "address_2": "RALEIGH HEART CLINIC INC",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25801",
            "telephone_number": "304-254-0892",
            "fax_number": "304-254-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH HEART CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARGHOUTHI",
        "authorized_official_first_name": "THAIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-254-0892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "16708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801019000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Raleigh Lung Clinic Incorporated PC
• Raleigh Orthopedic Center PLLC
• Raleigh Pathology Resources Inc
• Raleigh Psychiatric Services, Inc.
• Raleigh Radiology Inc.

• Cardiovascular Disease Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.