NPIMap

Organization Active NPI

Azzo Orthopedics, PLLC

  • Specialist
  • Bluefield, WV
National Provider Identifier
1598829541
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17728 Issued in WV
Legal business name
AZZO ORTHOPEDICS, PLLC
Practice address
512 Cherry St BLDG I
Bluefield, WV 24701-3341
Phone
(304) 324-2725
Fax
(304) 324-2780
NPI assigned
Dec 21, 2006
Last updated
Jan 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Dr. Walid Hikmet Azzo, MD.PH.D.NPI 1679508337
Title
Physician
Phone
(304) 324-2725

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
Specialist 174400000X 17728 WV Primary

Addresses

Primary practice location

512 Cherry St BLDG I
Bluefield, WV 24701-3341

Mailing address

PO Box 1696
Bluefield, WV 24701-1696
Phone (304) 324-2725

Other identifiers 2

IdentifierTypeStateIssuer
0097968000MedicaidWV
1478158OtherWVUNITED MINE WORKERS

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1598829541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1696",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011696",
            "telephone_number": "304-324-2725",
            "fax_number": "304-324-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CHERRY ST BLDG I",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013341",
            "telephone_number": "304-324-2725",
            "fax_number": "304-324-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZZO ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "AZZO",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "HIKMET",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-324-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.PH.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "17728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097968000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1478158",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.