Vaidya Urology Clinic Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

13842 Issued in WV

Legal business name

VAIDYA UROLOGY CLINIC INC

Practice address

2520 Valley Drive
Suite 016
Point Pleasant, WV 25550

Phone

(304) 675-6060

Fax

(304) 675-5001

NPI assigned

Nov 16, 2007

Last updated

Jun 27, 2008By 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

Ms. Brenda G Long

Title

Office Manager

Phone

(304) 675-6060

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Shamoon A Doctor, M.D.

  • Urology Physician
  • Del Rio, TX
  • NPI 1972539484
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1669653796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DRIVE",
            "address_2": "SUITE 016",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-6060",
            "fax_number": "304-675-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VALLEY DRIVE",
            "address_2": "SUITE 016",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "25550",
            "telephone_number": "304-675-6060",
            "fax_number": "304-675-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAIDYA UROLOGY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-675-6060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "13842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "340018637",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131036000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001707383",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0544987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Richard Tibbetts, ATC
• Charlotte Timberman
• Total Renal Care Inc (Point Pleasant Dialysis)
• Dakota Toth, PHARMD
• Ruth Upton
• Shrikant K Vaidya, M.D.
• Valley Health Systems Inc (Valley Heatlh Point Pleasant Pediatrics)
• Valley Health Systems Inc (Valley Health Point Pleasant Women's Health)
• Valley Health Systems Inc (Valley Health Point Pleasant Family Medicine)
• Valley Health Systems, Inc (Valley Health Point Pleasant Pharmacy)

• Medical Specialty Clinic/Center in Point Pleasant, WV
• Providers in Point Pleasant, WV by specialty
• Medical Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.