Clarksburg Cardiovascular PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CLARKSBURG CARDIOVASCULAR PLLC

Practice address

527 Medical Park Dr
Ste 306-a
Bridgeport, WV 26330-9008

Phone

(304) 933-3830

Fax

(304) 933-3837

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sathyanarayan M Reddy, M.D.NPI 1609828037

Title

Owner

Phone

(304) 933-3830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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

• Sathyanarayan M Reddy, M.D.

  • Cardiovascular Disease Physician
  • Bridgeport, WV
  • NPI 1609828037

  WV

  Medicare reassignment Authorized official
• Gerardo C Lopez, M.D.

  • Cardiovascular Disease Physician
  • Bridgeport, WV
  • NPI 1174575484

  Cardiovascular Disease

  NPD
• Keri Elizabeth Ramsey, PA-C

  • Physician Assistant
  • Clarksburg, WV
  • NPI 1720617889
  NPD
• David H Church, M.D.

  • Cardiovascular Disease Physician
  • Bridgeport, WV
  • NPI 1376595702

  Cardiovascular Disease

  NPD (past)
• Antoinette R Marascio, CNP

  • Nurse Practitioner
  • Clarksburg, WV
  • NPI 1093791840
  NPD (past)
• Ashley Marie Nestor, PA-C

  • Physician Assistant
  • Bridgeport, WV
  • NPI 1588912257
  NPD (past)
• Patricia Lynn Ross, MPA

  • Medical Physician Assistant
  • Bridgeport, WV
  • NPI 1235284886
  NPD (past)
• Stephen Ward, M.D.

  • Interventional Cardiology Physician
  • Bluefield, WV
  • NPI 1427268911

  Cardiovascular Disease

  NPD (past)
• Ashley Marie Dolan, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1588947097
  NPD (past)
• Jerry Roy, M.D.

  • Interventional Cardiology Physician
  • Bowling Green, KY
  • NPI 1487826814
  NPD (past)
• Rajendra R Shetty, MD

  • Interventional Cardiology Physician
  • Lanham, MD
  • NPI 1588768741

  Cardiovascular Disease

  NPD (past)
• Marc Robert Stauffer, M.D.

  • Interventional Cardiology Physician
  • Tampa, FL
  • NPI 1912913971

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1750768149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "STE 306-A",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309008",
            "telephone_number": "304-933-3830",
            "fax_number": "304-933-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR",
            "address_2": "STE 306-A",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309008",
            "telephone_number": "304-933-3830",
            "fax_number": "304-933-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSBURG CARDIOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SATHYANARAYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-933-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Citerone, OTRL
• City of Bridgeport
• Jazzriel Le Clark-Casto, NP
• Samantha Clark, LICSW
• Clarksburg Cardiology Consultants
• Clarksburg ENT - Uha
• Clarksburg Surgical Specialists
• Lauren Hope Clarkson, MOT
• Clemens Physical Therapy PLLC
• Clemens Physical Therapy Services Inc.

• All providers in Bridgeport, WV
• Cardiovascular Disease Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.