Active NPI
Faredoon K. Misaghi, DO
- Family Medicine Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1598
- Practice address
- 4602 Maccorkle Avenue SE
Charleston, WV 25304 - Phone
- (304) 925-4777
- Fax
- (304) 925-4780
- NPI assigned
- Jun 6, 2006
- Last updated
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1598 | WV | Primary |
Addresses
Primary practice location
4602 Maccorkle Avenue SE
Charleston, WV 25304
Mailing address
415 Morris Street
Suite 304
Charleston, WV 25301
Phone (304) 388-7782
Other practice location 1
5430 MacCorkle Ave SE
Charleston, WV 25304-2224
Phone (304) 925-3627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, MD, VA, PA, AR, DE, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1598 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Arkansas, P.a. | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Maryland | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Family Medicine | Current | Accepting new patients |
| Medexpress, Inc - Delaware | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Family Medicine | Current | Accepting new patients |
| Medexpress, Inc - Delaware | Family Medicine | Current | Accepting new patients |
| Medexpress, Inc - Delaware | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Maryland | Family Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Past | Accepting new patients | |
| Southeastern Emergency Physicians LLC | Past | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients |
Locations
1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971
2722 Concord Pike
Wilmington, DE 19803
Phone (302) 477-1406
1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336
430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144
1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Interoperability endpoints
- fmisaghi21320@gohealthupmc.direct-ci.com
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MedExpress Urgent Care - Fayetteville, N College Avenue
- Urgent Care Clinic/Center
- Fayetteville, AR
- NPI 1578984357
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1164707980
-
dba MedExpress Urgent Care - Hadley, Russell St
- Urgent Care Clinic/Center
- Hadley, MA
- NPI 1558882845
-
dba MedExpress Urgent Care - Bluefield
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Family Medicine
-
dba MedExpress - Wilmington Concord Pike
- Family Medicine Physician
- Wilmington, DE
- NPI 1255692182
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- South Charleston, WV
- NPI 1912133315
-
dba MedExpress Urgent Care - Pine Bluff, S Olive St
- Urgent Care Clinic/Center
- Pine Bluff, AR
- NPI 1154784882
Family Medicine
-
dba MedExpress Urgent Care - Waldorf, Crain Hwy
- Urgent Care Clinic/Center
- Waldorf, MD
- NPI 1528415064
Family Medicine
-
dba MedExpress Urgent Care - Westfield, E Main St
- Urgent Care Clinic/Center
- Westfield, MA
- NPI 1437536083
-
dba MedExpress Urgent Care - Somerset Township, N Center Ave
- Urgent Care Clinic/Center
- Somerset, PA
- NPI 1164766440
Family Medicine
-
dba MedExpress Urgent Care - St. Clair, Clover Dr
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1427097302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MORRIS STREET",
"address_2": "SUITE 304",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-388-7782",
"fax_number": "304-388-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 MACCORKLE AVENUE SE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-925-4777",
"fax_number": "304-925-4780"
}
],
"practiceLocations": [
{
"address_1": "5430 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253042224",
"country_code": "US",
"telephone_number": "304-925-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISAGHI",
"first_name": "FAREDOON",
"middle_name": "K.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.