NPI Profile for CENTRAL WV MEDCORP INC in BUCKHANNON, WV.
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Geriatric Medicine |
207RG0300X | 11 | Physician/Internal Medicine | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Professional |
101YP2500X | |||
Surgery |
208600000X | 02 | Physician/General Surgery | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI # | 1275558017 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/13/2006 | |
| Last updated | 10/31/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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