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Contact Information

ROBERT G TAYENGCO, MD
2007 SECOND STREET
MASON, WV25260
 Phone: 304-773-5195
 Fax: 304-675-5167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT G TAYENGCO · (Male)

NPI Number 1215038401
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2006
Last updated 01/23/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 19087
  • OH Medicaid 2028755
  • WV Medicaid 0080756000
  • WA Other 000026375 BCBS
  • WV Other 550737600 COMMERICAL INSURANCE
  • WV Other 230077 FEDERAL BLACK LUNG
Hospital affiliation(s)
  • HOLZER MEDICAL CENTER - (Acute Care)
    100 JACKSON PIKE
    GALLIPOLIS, OH 45631
  • PLEASANT VALLEY HOSPITAL - (Acute Care)
    2520 VALLEY DRIVE
    POINT PLEASANT, WV 25550
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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