Charleston Medical Associates, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18266 Issued in WV

Legal business name

CHARLESTON MEDICAL ASSOCIATES, PLLC

Practice address

331 Laidley St
Suite 507
Charleston, WV 25301-1619

Phone

(304) 720-1963

Fax

(304) 720-1966

NPI assigned

Feb 1, 2007

Last updated

Nov 18, 2015By 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

Amer M Malas, M.D.

Title

Owner, Managing Member

Phone

(304) 414-2070

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1851439202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253261685",
            "telephone_number": "304-346-9400",
            "fax_number": "304-345-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 507",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-720-1963",
            "fax_number": "304-720-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON MEDICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "MALAS",
        "authorized_official_first_name": "AMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, MANAGING  MEMBER",
        "authorized_official_telephone_number": "304-414-2070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "18266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "2154761",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET GROUP",
            "identifier": "1071392",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008403",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Hospital, Inc. (Saint Francis Hospital)
• Charleston Hospital, Inc. (Hospitalists of Saint Francis)
• Charleston Infusion Services, LLC (Vital Care of Charleston, WV)
• Charleston Internal Medicine Inc
• Charleston Internal Medicine, Inc
• Charleston Medical Center Pharmacy
• Charleston Medical Center, Inc.
• Charleston Medical Supplies
• Charleston Neurology Assc Inc
• Charleston Orthopedic Appliances Inc (Charleston Orthpedic)

• Internal Medicine Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.