Active NPI
Four Seasons Nuclear Medicine, PLLC
- Specialist
- Bluefield, VA
National Provider Identifier
1407980543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101040972
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296801 | Other | VA | ANTHEM BCBS |
| 4000117000 | Medicaid | WV | |
| P00460579 | Other | VA | RAILROAD MEDICARE |
| 1184680548 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Odessa, FL
- NPI 1760590012
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
- Zhanee Tiera Fickling, ATC
- Nathan Andrew Figueroa
- Shelly Ann Fizer, OT/L
- Foot and Ankle Clinic of the Virginias Inc
- Foot and Ankle Clinic of the Virginias, Inc
- Four Seasons Rehab, Inc.
- Alisha Gauger
- Janice Newsom Geiger, R.PH
- Gibson Counseling Center (The Gibson Counseling Center)
- Jerry Dean Gibson, M.A., ED.D. LPC, NCC
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.