NPIMap

Organization Active NPI

Appalachian Gastroenterology, PLLC

  • Health Maintenance Organization
  • Beckley, WV
National Provider Identifier
1881895100
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
13335 Issued in WV
Legal business name
APPALACHIAN GASTROENTEROLOGY, PLLC
Practice address
429 Carriage Dr
Beckley, WV 25801-2805
Phone
(304) 253-0849
Fax
(304) 253-1573
NPI assigned
May 31, 2007
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Husam Mohammad Nazer, M.D.,FACP,FACGNPI 1811178106
Title
Owner
Phone
(304) 253-0849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 13335 WV Primary

Addresses

Primary practice location

429 Carriage Dr
Beckley, WV 25801-2805

Mailing address

P.O. Box 1189
Beckley, WV 25802
Phone (304) 253-0849

Other identifiers 1

IdentifierTypeStateIssuer
0071942000MedicaidWV

National Provider Directory

National Provider Directory

Locations

429 Carriage Dr
Beckley, WV 25801
Phone (304) 253-0849

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1881895100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1189",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "25802",
            "telephone_number": "304-253-0849",
            "fax_number": "304-253-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 CARRIAGE DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012805",
            "telephone_number": "304-253-0849",
            "fax_number": "304-253-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "NAZER",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-253-0849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,FACP,FACG"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WV",
            "license": "13335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071942000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.