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Contact Information

TYSHAUN M JAMES HART, MD
250 STANAFORD RD
SUITE 105
BECKLEY, WV25801-3140
 Phone: 304-254-2667
 Fax: 304-254-2732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TYSHAUN M JAMES HART · (Female)

NPI Number 1407840978
Status Active
Credentials MD
Entity Individual
Enumeration date 09/09/2005
Last updated 10/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 21616
  • WV Medicaid 3810001300
  • WV Other 000056944C HUMANA
  • WV Other 001723603 MOUNTAIN STATE BLUE CROSS
  • WV Other P00380544 RAILROAD MEDICARE PIN #
Hospital affiliation(s)
  • ALTOONA REGIONAL HEALTH SYSTEM - (Acute Care)
    620 HOWARD AVENUE
    ALTOONA, PA 16601
  • UPMC BEDFORD - (Acute Care)
    10455 LINCOLN HIGHWAY
    EVERETT, PA 15537
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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