Active NPI
Huntington Medical Associates, Inc
- Dermatology Physician
- Huntington, WV
National Provider Identifier
1154409092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 10775
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070244000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
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
- Huntington Foot & Ankle Clinic, Inc
- Huntington Health and Rehab
- Huntington Hospitalist Group Inc
- Huntington Hospitalist Group Inc
- Huntington Integrative Counseling & Wellness
- Huntington Mental Health Associates, Inc. (HBH Primary Care and Behavioral Health)
- Huntington Mental Health Associates, Inc. (Huntington Behavioral Health)
- Huntington Ophthalmology Professional Corp
- Huntington Ophthalmology Professional Corporation
- Huntington Optical
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.