NPIMap

Organization Active NPI

Sahib K Shammaa, MD Inc

  • Specialist
  • Hinton, WV
National Provider Identifier
1881856516
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10770 Issued in WV
Legal business name
SAHIB K SHAMMAA, MD INC
Practice address
623 Temple St
Hinton, WV 25951-2230
Phone
(304) 466-1243
Fax
(304) 466-6050
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Gayle Marie Bugg
Title
Secretary
Phone
(304) 466-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 10770 WV Primary

Addresses

Primary practice location

623 Temple St
Hinton, WV 25951-2230

Mailing address

623 Temple St
Pob 370
Hinton, WV 25951-2230
Phone (304) 466-1243

Other identifiers 1

IdentifierTypeStateIssuer
3810000512MedicaidWV

National Provider Directory

National Provider Directory

Locations

319 2nd Ave
Hinton, WV 25951
Phone (304) 466-1243

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1881856516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 TEMPLE ST",
            "address_2": "POB 370",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512230",
            "telephone_number": "304-466-1243",
            "fax_number": "304-466-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 TEMPLE ST",
            "city": "HINTON",
            "state": "WV",
            "postal_code": "259512230",
            "telephone_number": "304-466-1243",
            "fax_number": "304-466-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHIB K SHAMMAA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "304-466-1243"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000512",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.