C.P. Vasudevan,M.D.,P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

C.P. VASUDEVAN,M.D.,P.C.

Practice address

2117 College Ave
Bluefield, VA 24605-2002

Phone

(276) 322-5864

NPI assigned

Jul 26, 2007

Last updated

Mar 31, 2008By 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. Cuddalore P Vasudevan, M.D.

Title

President

Phone

(276) 322-5864

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 3

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.

• Amy Beth Alvis, PA-C

  • Physician Assistant
  • Bluefield, VA
  • NPI 1144253394
  NPD (past)
• Anthony Daniel Rasi, D.O.

  • Family Medicine Physician
  • Bluefield, VA
  • NPI 1942233184
  NPD (past)
• Leah D Petrunger, PA-C

  • Physician Assistant
  • Princeton, WV
  • NPI 1104919828
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1821288804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.P. VASUDEVAN,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "VASUDEVAN",
        "authorized_official_first_name": "CUDDALORE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-322-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4353209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHEAST SERVICES",
            "identifier": "308652",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "612758800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BC",
            "identifier": "001995560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00450347",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821288804",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290006991",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010120",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Browning
• Cathy Lynn Bryson, NP-C
• Derek S Buck, MD DC
• Michelle Bucklen
• Melissa Marie Buckner, FNP-BC
• Alexis Greimel Canterbury, NP
• Cardiomed PLLC
• Carilion Rockbridge Community Hospital (Carilion Clinic Family Medicine RHC)
• Chad S Caskey, PA
• Fermin Castro, OTR

• Pulmonary Disease Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.