Organization Active NPI

Huntington Medical Associates, Inc

  • Dermatology Physician
  • Huntington, WV
National Provider Identifier
1154409092
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
10775 Issued in WV
Legal business name
HUNTINGTON MEDICAL ASSOCIATES, INC
Practice address
1934 11TH Ave
Huntington, WV 25701-3722
Phone
(304) 529-0900
Fax
(304) 529-3913
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charles L Yarbrough, MD
Title
Physician President
Phone
(304) 529-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 10775 WV Primary

Addresses

Primary practice location

1934 11TH Ave
Huntington, WV 25701-3722

Mailing address

1934 11TH Ave
Huntington, WV 25701-3722
Phone (304) 529-0900

Other identifiers 1

IdentifierTypeStateIssuer
0070244000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1934 11th Ave
Huntington, WV 25701
Phone (304) 529-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1154409092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-529-0900",
            "fax_number": "304-529-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 11TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013722",
            "telephone_number": "304-529-0900",
            "fax_number": "304-529-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "304-529-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WV",
            "license": "10775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070244000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.