DR. DONALD RAY SIDDOWAY (NPI# 1235392093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235392093 |
Entity Type | Individual |
Full Name | DR. DONALD RAY SIDDOWAY |
Credential | MD |
Practice Address |
600 Suncrest Town Centre Dr Ste 210 Morgantown WV 26505 |
Mailing Address |
600 Suncrest Town Centre Dr Ste 210 Morgantown WV 26505-1873 |
Practice Telephone | 3045984478 |
Mailing Telephone | 3045984478 |
Enumeration Date | 2008-07-02 |
Last Update Date | 2020-10-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD442073 | PA | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27143 | WV | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
27143 | WV | Allopathic & Osteopathic Physicians |
Street Address |
600 SUNCREST TOWN CENTRE DR STE 210 |
City | MORGANTOWN |
State | WV |
Zip Code | 26505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
Find all providers in zip 26505 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174602924 | Robert Warren Hull | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972549814 | Muhammad Amer | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304-1223 | 2006-06-21 |
1700051380 | Kevin A Driver | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304 | 2008-04-24 |
1598939027 | Tania B. Babar | Internal Medicine | 3100 Maccorkle Ave Se Ste 900, Charleston, WV 25304-1223 | 2008-04-16 |
1487602538 | Ronald Jay Haberman | Internal Medicine | 5170 Us Route 60, Huntington, WV 25705-2004 | 2006-05-04 |
1699766931 | George K Joseph | Internal Medicine | 5170 Us Rt 60 East, Huntington, WV 25705 | 2005-11-04 |
City | MORGANTOWN |
Zip Code | 26505 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.