Parkersburg Infectious Disease PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PARKERSBURG INFECTIOUS DISEASE PLLC

Practice address

800 Grand Central Mall Ste 10
Vienna, WV 26105-4100

Phone

(304) 916-1288

Fax

(304) 916-1289

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Seyoum D Bage, MDNPI 1609842640

Title

Physician

Phone

(304) 916-1288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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.

• Seyoum Daffo Bage, M.D.

  • Infectious Disease Physician
  • Vienna, WV
  • NPI 1609842640
  Medicare reassignment NPD Authorized official
• Karen Malee Palmateer, PA-C

  • Medical Physician Assistant
  • Vienna, WV
  • NPI 1710469606
  Medicare reassignment

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1427516129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 10",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1288",
            "fax_number": "304-916-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 10",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1288",
            "fax_number": "304-916-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG INFECTIOUS DISEASE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "BAGE",
        "authorized_official_first_name": "SEYOUM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-916-1288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Owens
• Ciesta Owusu
• Karen Malee Palmateer, PA-C
• Katie Palmer, OD
• Pamela J Parker, FNP-BC
• Parkersburg Radiology, LLC
• Parkersburg Surgical Associates, PLLC
• Stephanie Parsons
• Prakash Maganbhai Patel, M.D
• Priya Patel, DPT

• Infectious Disease Physician in Vienna, WV
• Providers in Vienna, WV by specialty
• Infectious Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.