Basim Wadih Antoun, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17447 Issued in WV

Practice address

608 New Hope Rd Ste 7
Princeton, WV 24740-2287

Phone

(304) 487-1076

Fax

(304) 425-9499

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bantoun@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117

  Diagnostic Radiology

  Medicare reassignment NPD
• Raleigh Radiology Inc.

  • Diagnostic Radiology Physician
  • Beckley, WV
  • NPI 1669405106
  Medicare reassignment NPD
• Lively Pediatrics, PLLC

  • Pediatrics Physician
  • Princeton, WV
  • NPI 1063006047
  NPD
• Princeton Community Hospital Assn Inc.

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  NPD
• Princeton Community Hospital Assn., Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Clinch Valley Physicians Inc

  • Multi-Specialty Clinic/Center
  • Richlands, VA
  • NPI 1912980855
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1982695276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247401559",
            "telephone_number": "304-487-1076",
            "fax_number": "304-425-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NEW HOPE RD STE 7",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402287",
            "telephone_number": "304-487-1076",
            "fax_number": "304-425-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOUN",
        "first_name": "BASIM",
        "middle_name": "WADIH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "17447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lee Anderson, L.I.C.S.W
• Jabez R Anderson, BA, BSPI
• Justin Anderson, BSW
• Stacy Anderson
• Tammy Angle, MA
• Appalachian Eye Care
• Appalachian Eye Care Inc
• Appalachian Surgical Associates, LLC
• Lori Archer
• Allysha Arroyo

• Diagnostic Radiology Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Diagnostic Radiology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.