NPIMap

Organization Active NPI

Mid-Atlantic Retina Consultations, Inc.

  • Ophthalmology Physician
  • Morgantown, WV
National Provider Identifier
1558316968
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14244 Issued in WV
Legal business name
MID-ATLANTIC RETINA CONSULTATIONS, INC.
Practice address
3120 Collins Ferry Rd
Morgantown, WV 26505-3305
Phone
(304) 599-2733
Fax
(304) 599-4428
NPI assigned
May 23, 2006
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Nabil M. Jabbour, M.D.NPI 1891770525
Title
President
Phone
(304) 599-2733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14244 WV Primary

Addresses

Primary practice location

3120 Collins Ferry Rd
Morgantown, WV 26505-3305

Mailing address

3120 Collins Ferry Rd
Morgantown, WV 26505-3305
Phone (304) 599-2733

National Provider Directory

National Provider Directory

Locations

3120 Collins Ferry Rd
Morgantown, WV 26505
Phone (304) 599-2733

Practitioners & affiliated clinicians

Practitioners 7

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1558316968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 COLLINS FERRY RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053305",
            "telephone_number": "304-599-2733",
            "fax_number": "304-599-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 COLLINS FERRY RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053305",
            "telephone_number": "304-599-2733",
            "fax_number": "304-599-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC RETINA CONSULTATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "JABBOUR",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-599-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "14244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.