NPIMap

Organization Active NPI

Kanawha Valley Heart Specialists

Doing business as West Virginia Heart & Vascular Institute

  • Specialist
  • South Charleston, WV
National Provider Identifier
1669508438
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11014209 Issued in WV
Legal business name
KANAWHA VALLEY HEART SPECIALISTS
Doing business as
West Virginia Heart & Vascular Institute
Practice address
4610 Kanawha Ave, SW
Suite 200
South Charleston, WV 25309-1320
Phone
(304) 205-7992
Fax
(304) 205-7739
NPI assigned
Feb 26, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Elie George Gharib, MDNPI 1700845559
Title
Managing Member/Owner
Phone
(304) 205-7992

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 11014209 WV Primary

Addresses

Primary practice location

4610 Kanawha Ave, SW
Suite 200
South Charleston, WV 25309-1320

Mailing address

4610 Kanawha Ave, SW
Suite 200
South Charleston, WV 25309-1320
Phone (304) 205-7992

Other names 1

  • West Virginia Heart & Vascular Institute Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1669508438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE, SW",
            "address_2": "SUITE 200",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091320",
            "telephone_number": "304-205-7992",
            "fax_number": "304-205-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE, SW",
            "address_2": "SUITE 200",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091320",
            "telephone_number": "304-205-7992",
            "fax_number": "304-205-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAWHA VALLEY HEART SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "GHARIB",
        "authorized_official_first_name": "ELIE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "304-205-7992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "11014209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Virginia Heart & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.