Cardiomed PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

19508 Issued in WV

Legal business name

CARDIOMED PLLC

Practice address

990 Leatherwood LN
Bluefield, VA 24605-2047

Phone

(276) 582-0888

Fax

(276) 582-0877

NPI assigned

May 31, 2007

Last updated

Apr 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep Vardan, MD

Title

Owner

Phone

(276) 582-0888

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Joseph Thomas Ascue, MD

  • General Practice Physician
  • Grundy, VA
  • NPI 1861459281
  NPD (past)
• Vijaykumar R Phade, MD

  • Surgery Physician
  • Bluefield, WV
  • NPI 1538124680
  NPD (past)
• Suman Vardan, M.D.

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1083678197
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1598966871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247011557",
            "telephone_number": "276-582-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LEATHERWOOD LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052047",
            "telephone_number": "276-582-0888",
            "fax_number": "276-582-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOMED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "VARDAN",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-582-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WV",
            "license": "19508",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "VA",
            "license": "0101220759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005842981",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081887000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek S Buck, MD DC
• Michelle Bucklen
• Melissa Marie Buckner, FNP-BC
• C.P. Vasudevan,M.D.,P.C.
• Alexis Greimel Canterbury, NP
• Carilion Rockbridge Community Hospital (Carilion Clinic Family Medicine RHC)
• Chad S Caskey, PA
• Fermin Castro, OTR
• Ashutosh Chandel, MD
• Shayan Cheraghlou, MD

• Health Service Clinic/Center in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.