Walid Hikmet Azzo, MD.PH.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17728 Issued in WV

Practice address

512 Cherry St
Building I
Bluefield, WV 24701-3341

Phone

(304) 324-2725

Fax

(304) 324-2780

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinch Professional Physician Services LLC

  • Surgery Physician
  • Richlands, VA
  • NPI 1609994284

  VA

  Medicare reassignment Care Compare group NPD
• Clinch Professional Physician Services LLC

  • Rural Health Clinic/Center
  • Cedar Bluff, VA
  • NPI 1669157285
  Care Compare group NPD
• Clinch Professional Physician Services LLC

  • Rural Health Clinic/Center
  • Pounding Mill, VA
  • NPI 1386329902
  Care Compare group
• East River Medical, PLLC

  • Family Nurse Practitioner
  • Bluefield, WV
  • NPI 1265530752
  NPD (past)
• Edward M. Litz, MD. P.C.

  • Specialist
  • Bluefield, WV
  • NPI 1982768230
  NPD (past)
• Clinch Valley Urology, LLC

  • Urology Physician
  • Richlands, VA
  • NPI 1114955168
  NPD (past)
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys West Virginia, L.L.C.

  • Home Health Agency
  • Bluefield, WV
  • NPI 1427240183
  Care Compare affiliation Name & address match
• Clinch Valley Medical Center Inc.

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297

  Hospital

  Care Compare affiliation
• S & S Health Care, Inc

  • Home Health Agency
  • Tazewell, VA
  • NPI 1144272758
  Care Compare affiliation

Specialty

Orthopedic Surgery

Education

University of Miami, LM Miller School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinch Professional Physician Services LLC 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Interim Healthcare of Cedar Bluff Home health agency, Cedar Bluff, VA, CCN 497603
• Amedisys Home Health of West Virginia Home health agency, Beckley, WV, CCN 517054
• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in WV, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: walid.azzo@vab.hcadirect.net
• Direct secure messaging: walidazzo@xazo.ssdirect.aprima.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2008.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1679508337",
    "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",
            "address_2": "BUILDING I",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013341",
            "telephone_number": "304-324-2725",
            "fax_number": "304-324-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZZO",
        "first_name": "WALID",
        "middle_name": "HIKMET",
        "name_prefix": "Dr.",
        "credential": "MD.PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "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": "UMWA",
            "identifier": "1478158",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• App of West Virginia HM, PLLC
• Gary Tremont Armstead Sr.
• Carol Asbury, M.D.
• Tammy Darlene Asbury
• Azzo Orthopedics, PLLC
• Angela Bailey
• Ashley R Bailey
• Brianna Bailey
• Brittany Leighann Bailey
• Julia Bailey

• All providers in Bluefield, WV
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.