Organization Active NPI

Sarah M. Nease, M.D., P.L.L.C.

  • Cardiovascular Disease Physician
  • Charleston, WV
National Provider Identifier
1962756437
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16598 Issued in WV
Legal business name
SARAH M. NEASE, M.D., P.L.L.C.
Practice address
4315 Maccorkle Ave SE
Charleston, WV 25304-2503
Phone
(304) 926-8080
Fax
(304) 926-8083
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Sarah M. Nease, M.D.NPI 1891760278
Title
M.D.
Phone
(304) 926-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 16598 WV Primary

Addresses

Primary practice location

4315 Maccorkle Ave SE
Charleston, WV 25304-2503

Mailing address

4315 Maccorkle Ave SE
Charleston, WV 25304-2503
Phone (304) 926-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130129000624 WV Part B Supplier - Clinic/Group Practice 0547414518 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, WV

National Provider Directory

National Provider Directory

Locations

3411 Noyes Ave
Ste B
Charleston, WV 25304
Phone (304) 562-5698

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1962756437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042503",
            "telephone_number": "304-926-8080",
            "fax_number": "304-926-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042503",
            "telephone_number": "304-926-8080",
            "fax_number": "304-926-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH M. NEASE, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "NEASE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "304-926-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "16598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.