Organization Active NPI

Four Seasons Nuclear Medicine, PLLC

  • Specialist
  • Bluefield, VA
National Provider Identifier
1407980543
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101040972 Issued in VA
Legal business name
FOUR SEASONS NUCLEAR MEDICINE, PLLC
Practice address
15A Westwood Medical Park
Bluefield, VA 24605-2000
Phone
(276) 326-1132
Fax
(276) 326-1137
NPI assigned
Mar 14, 2007
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Naeem A Qazi, M.D.
Title
President
Phone
(276) 326-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101040972 VA Primary

Addresses

Primary practice location

15A Westwood Medical Park
Bluefield, VA 24605-2000

Mailing address

PO Box 1537
Bluefield, WV 24701-1537
Phone (276) 326-1132

Other identifiers 4

IdentifierTypeStateIssuer
296801OtherVAANTHEM BCBS
4000117000MedicaidWV
P00460579OtherVARAILROAD MEDICARE
1184680548MedicaidVA

National Provider Directory

National Provider Directory

Locations

15A Westwood Medical Park
Bluefield, VA 24605
Phone (276) 326-1132

2223 W Cumberland Rd
Bluefield, VA 24605
Phone (276) 326-1132

1279 Stadium Dr
Bluefield, WV 24701
Phone (304) 323-2588

Practitioners & affiliated clinicians

Practitioners 1

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1407980543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1537",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011537",
            "telephone_number": "276-326-1132",
            "fax_number": "276-326-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-326-1132",
            "fax_number": "276-326-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS NUCLEAR MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "NAEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-326-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101040972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "296801",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000117000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00460579",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184680548",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.