Charleston Diabetes & Endocrine Consultants, PLLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

21072 Issued in WV

Legal business name

CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC

Practice address

3100 Maccorkle Ave
Suite 810
Charleston, WV 25304-1223

Phone

(304) 720-4422

Fax

(304) 720-4421

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Prasuna Jami, MD

Title

MD/Owner

Phone

(304) 720-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Leigh Jackson, FNP-BC

  • Family Nurse Practitioner
  • Ansted, WV
  • NPI 1790028082
  NPD

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1710128541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE",
            "address_2": "SUITE 810",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-720-4422",
            "fax_number": "304-720-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MACCORKLE AVE",
            "address_2": "SUITE 810",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041223",
            "telephone_number": "304-720-4422",
            "fax_number": "304-720-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON DIABETES & ENDOCRINE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "JAMI",
        "authorized_official_first_name": "PRASUNA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "304-720-4422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WV",
            "license": "21072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014496",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Cardiovascular
• Charleston Chiropractic Company PLLC
• Charleston Comprehensive Treatment Center
• Charleston Dental Associates
• Charleston Dermatology PLLC
• Charleston Digestive Disease, Inc.
• Charleston Eye Care, PLLC
• Charleston Family Chiropractic
• Charleston Family Health Assoc
• Charleston Family Practice Group

• Endocrinology, Diabetes & Metabolism Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Endocrinology, Diabetes & Metabolism Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.