Active NPI
Walid Hikmet Azzo, MD.PH.D.
- Specialist
- Bluefield, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 17728
- Practice address
- 512 Cherry St
Building I
Bluefield, WV 24701-3341 - Phone
- (304) 324-2725
- Fax
- (304) 324-2780
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 17728 | WV | Primary |
Addresses
Primary practice location
512 Cherry St
Building I
Bluefield, WV 24701-3341
Mailing address
PO Box 1696
Bluefield, WV 24701-1696
Phone (304) 324-2725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1478158 | Other | WV | UMWA |
| 0097968000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- 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
Practice addresses (Care Compare)
6719 Governor GC Peery Hwy
Suite 1250
Richlands, VA 24641-0379
Phone (276) 963-0333
Hospital & facility affiliations
- Interim Healthcare of Cedar Bluff
- Amedisys Home Health of West Virginia
- Clinch Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| Clinch Professional Physician Services LLC | Current | Accepting new patients | |
| East River Medical, PLLC | Past | Accepting new patients | |
| Fayette Physician Network Inc | Past | Accepting new patients | |
| Edward M. Litz, MD. P.C. | Specialist | Past | Accepting new patients |
Locations
1934 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 596-6563
398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600
6719 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 596-6778
6719 Governor Gc Peery Hwy
Ste 1250
Richlands, VA 24641
Phone (276) 596-6695
6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786
Interoperability endpoints
- walid.azzo@vab.hcadirect.net
- walidazzo@xazo.ssdirect.aprima.com
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Bluefield, WV
- NPI 1346613171
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Richlands, VA
- NPI 1609994284
-
- Specialist
- Bluefield, WV
- NPI 1598829541
-
dba Clinch Valley Family Care
- Rural Health Clinic/Center
- Cedar Bluff, VA
- NPI 1669157285
-
- Family Nurse Practitioner
- Bluefield, WV
- NPI 1265530752
-
- Specialist
- Bluefield, WV
- NPI 1982768230
-
- Family Medicine Physician
- Friendsville, MD
- NPI 1437823044
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Bluefield, WV
- NPI 1427240183
-
dba Clinch Valley Medical Center
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1478158",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097968000",
"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 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.