Active NPI
Alwahido Medical Corporation M C
Doing business as Stanaford Medical Clinic
- Internal Medicine Physician
- Beckley, WV
National Provider Identifier
1467542183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALWAHIDO MEDICAL CORPORATION M C
- Doing business as
- Stanaford Medical Clinic
- Practice address
- 451 Stanaford Rd
Beckley, WV 25801-3145 - Phone
- (304) 256-8227
- Fax
- (304) 256-8214
- NPI assigned
- Oct 13, 2006
- Last updated
- Nov 19, 2012
- 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
- Mrs. Cynthia Ann Jafary
- Title
- Director Office Manager
- Phone
- (304) 256-8227
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Pulmonary Disease Physician | 207RP1001X | NU |
Addresses
Primary practice location
451 Stanaford Rd
Beckley, WV 25801-3145
Mailing address
PO Box 299
Stanaford Medical Clinic
Stanaford, WV 25927-0299
Phone (304) 256-8227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810002364 | Medicaid | WV |
Other names 1
- Stanaford Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 Anwar Fatima Ln
Ste B
Beckley, WV 25801
Phone (304) 256-8227
Practitioners & affiliated clinicians
Practitioners 3
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
- Beckley, WV
- NPI 1740398239
-
- Nurse Practitioner
- Beckley, WV
- NPI 1053354969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353283200000",
"number": "1467542183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"address_2": "STANAFORD MEDICAL CLINIC",
"city": "STANAFORD",
"state": "WV",
"postal_code": "259270299",
"telephone_number": "304-256-8227",
"fax_number": "304-256-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 STANAFORD RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013145",
"telephone_number": "304-256-8227",
"fax_number": "304-256-8214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALWAHIDO MEDICAL CORPORATION M C",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2012-11-19",
"status": "A",
"authorized_official_last_name": "JAFARY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR OFFICE MANAGER",
"authorized_official_telephone_number": "304-256-8227",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002364",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stanaford Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beckley, WV
- Almost Heaven Sleep Solutions PLLC
- Said Radi Alnajjar, MD
- Alternative Health Solutions LLC (BMH Beckley)
- Mansour Alvi
- Alwahhab PLLC (Farhat Medical Clinic)
- Nader Adel Salem Alwifati
- American Institute of Modern Medicine
- American Institute of Modern Medicine
- American Quality Imaging
- American Quality Imaging
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.