BANDAK PLASTIC SURGERY PLLC
NPI 1457564213
Surgery - Plastic and Reconstructive Surgery in Charleston, WV
NPI Status: Active since May 08, 2007
Contact Information
4920 MACCORKLE AVE SE
CHARLESTON, WV
ZIP 25304
Phone: (304) 925-4665
Fax: (304) 925-4666
- Organization
- Surgery
- Plastic and Reconstructive Surgery
- CLIA Number: 51D2216430
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-11-2027
About BANDAK PLASTIC SURGERY PLLC
This page provides the complete NPI Profile along with additional information for Bandak Plastic Surgery Pllc, a provider established in Charleston, West Virginia operating as a Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1457564213 assigned on May 2007. The practitioner's primary taxonomy code is 2086S0122X with license number 21839 (WV). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Abdalla Z Bandak M.d. (Owner)
- NPI
- 1457564213
- Provider Name
- BANDAK PLASTIC SURGERY PLLC
- Entity Type
- Organization
- Location Address
- 4920 MACCORKLE AVE SE CHARLESTON, WV 25304
- Location Phone
- (304) 925-4665
- Location Fax
- (304) 925-4666
- Mailing Address
- 4920 MACCORKLE AVE SE CHARLESTON, WV 25304
- Mailing Phone
- (304) 925-4665
- Mailing Fax
- (304) 925-4666
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Plastic and Reconstructive Surgery
- Taxonomy Code
- 2086S0122X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21839
- License State
- WV
- Taxonomy Description
- A surgeon who specializes in plastic and reconstructive surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2216430
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 12, 2025
- Certificate Expiration Date
- March 11, 2027
- Laboratory Director
- DR. ABDALLA Z. BANDAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bandak Plastic Surgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BANDAK PLASTIC SURGERY PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 5 | 6 | 4 | 2 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 10 | 6 | 8 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 0 + 6 + 8 + 2 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1457564213 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811980113 | DR. ABDALLA ZACKARIA BANDAK MD Individual | Surgery (Plastic and Reconstructive Surgery) | 4920 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 741-5510 |
| 1104888171 | AFIF S HABASH MD Individual | Pediatrics (Adolescent Medicine) | 4920 MACCORKLE AVE SE CHARLESTON, WV 25304 (304) 442-8117 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457564213, enumerated in the NPI registry as an "organization" on May 08, 2007
The provider is located at 4920 Maccorkle Ave Se Charleston, Wv 25304 and the phone number is (304) 925-4665
This medical organization specializes in Surgery with taxonomy code 2086S0122X with a focus in Plastic and Reconstructive Surgery
The provider's CLIA number is 51D2216430 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.