Active NPI
West Virginia Heart & Vascular Institute Logan Inc
- Cardiovascular Disease Physician
- Logan, WV
National Provider Identifier
1528396355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- WEST VIRGINIA HEART & VASCULAR INSTITUTE LOGAN INC
- Practice address
- 83 Hospital Drive
Logan, WV 25601 - Phone
- (304) 239-8020
- Fax
- (304) 239-8022
- NPI assigned
- Dec 7, 2009
- 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. Elie George Gharib, M.D.
- Title
- President
- Phone
- (304) 767-7780
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
83 Hospital Drive
Logan, WV 25601
Mailing address
4607 Maccorkle Ave SW
Suite 300
Charleston, WV 25309-1364
Phone (304) 767-7780
National Provider Directory
National Provider DirectoryLocations
4607 Maccorkle Ave SW
Ste 300
South Charleston, WV 25309
Phone (304) 766-3688
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- South Charleston, WV
- NPI 1689771149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1528396355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 MACCORKLE AVE SW",
"address_2": "SUITE 300",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253091364",
"telephone_number": "304-767-7780",
"fax_number": "304-767-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HOSPITAL DRIVE",
"city": "LOGAN",
"state": "WV",
"postal_code": "25601",
"telephone_number": "304-239-8020",
"fax_number": "304-239-8022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VIRGINIA HEART & VASCULAR INSTITUTE LOGAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-07",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "GHARIB",
"authorized_official_first_name": "ELIE",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-767-7780",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.