NPIMap

Organization Active NPI

Nasim Sheikh

Doing business as Family Allergy and Asthma Clinic

  • Allergy Physician
  • South Charleston, WV
National Provider Identifier
1447624093
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
WV17952 Issued in WV
Legal business name
NASIM SHEIKH
Doing business as
Family Allergy and Asthma Clinic
Practice address
4502 Maccorkle Ave SW
South Charleston, WV 25309-1409
Phone
(304) 768-3500
Fax
(304) 768-4011
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Nasim Sheikh, M.D.NPI 1609802644
Title
Owner
Phone
(304) 768-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X WV17952 WV Primary

Addresses

Primary practice location

4502 Maccorkle Ave SW
South Charleston, WV 25309-1409

Mailing address

4502 Maccorkle Ave SW
South Charleston, WV 25309-1409
Phone (304) 768-3500

Other identifiers 1

IdentifierTypeStateIssuer
0077285000MedicaidWV

Other names 1

  • Family Allergy and Asthma Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

4502 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-3500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1447624093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091409",
            "telephone_number": "304-768-3500",
            "fax_number": "304-768-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091409",
            "telephone_number": "304-768-3500",
            "fax_number": "304-768-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIM SHEIKH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "NASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-768-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WV",
            "license": "WV17952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077285000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Allergy and Asthma Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.