Charles F Bou-Abboud MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

16314 Issued in WV

Legal business name

CHARLES F BOU-ABBOUD MD PLLC

Practice address

58 Brookshire LN
Beckley, WV 25801-6765

Phone

(304) 252-4900

Fax

(304) 252-8470

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Bou-Abboud, M.D.NPI 1255324844

Title

Physician

Phone

(304) 252-4900

Specialties & licenses 1

Addresses

Other identifiers 1

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 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.

• Charles F Bou-Abboud, MD

  • Gastroenterology Physician
  • Beckley, WV
  • NPI 1255324844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1801137104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-252-4900",
            "fax_number": "304-252-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-252-4900",
            "fax_number": "304-252-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F BOU-ABBOUD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "BOU-ABBOUD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-252-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "16314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001170000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jo Chapman
• Melissa Ann Chapman, DO
• Denise Chappell
• Charles D Field III OD
• Charles E Porterfield DO
• Charleston Area Medical Center Inc
• Charleston Area Medical Center Inc
• Charleston Area Medical Center Inc
• Charleston Area Medical Center, Inc.
• Charleston Area Medical Center, Inc.

• Specialist in Beckley, WV
• Providers in Beckley, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.