Organization Active NPI

Samina Kazmi MD PLLC

  • Clinical Neurophysiology Physician
  • Charleston, WV
National Provider Identifier
1740474329
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
20887 Issued in WV
Legal business name
SAMINA KAZMI MD PLLC
Doing business as
CHARLESTON NEUROLOGY CLINIC
Practice address
415 Morris St Ste 403
Charleston, WV 25301-1854
Phone
(304) 344-0166
Fax
(304) 344-5105
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Mr. Syed G Kazmi
Title
Manager
Phone
(304) 344-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X 20887 WV Primary

Addresses

Primary practice location

415 Morris St Ste 403
Charleston, WV 25301-1854

Mailing address

415 Morris St Ste 403
Charleston, WV 25301-1854
Phone (304) 344-0166

Other identifiers 1

IdentifierTypeStateIssuer
2004431000MedicaidWV

Other names 1

  • CHARLESTON NEUROLOGY CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

451 Stanaford Rd
Beckley, WV 25801
Phone (304) 256-8227

505 Washington St
Ravenswood, WV 26164
Phone (304) 273-4479

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1740474329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MORRIS ST STE 403",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011854",
            "telephone_number": "304-344-0166",
            "fax_number": "304-344-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MORRIS ST STE 403",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011854",
            "telephone_number": "304-344-0166",
            "fax_number": "304-344-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMINA KAZMI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "KAZMI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "304-344-0166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "WV",
            "license": "20887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004431000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLESTON NEUROLOGY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.