Gabor Altdorfer I, M.D.
Individual provider Active NPI Therapeutic Radiology Physician · Parkersburg, WV
NPI 1619082112 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1619082112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Therapeutic Radiology Physician 2085R0203X
- License
- 23294 (WV)
- Practice address
- 705 Garfield Ave
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26101-5444 - Phone
- (740) 274-0790
- Fax
- (304) 424-2717
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
705 Garfield Ave
Suite 180
Parkersburg, WV 26101-5444
Phone (304) 424-2744
Hospital & facility affiliations
- Camden Clark Medical Center
- Marietta Memorial Hospital
- Jackson General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081231000099 | WV | Practitioner - Radiation Oncology | 0345226742 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| Deland and Harwood Crowley Partnership | Past | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Oncologics, Inc. | Past | Accepting new patients |
Locations
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
705 Garfield Ave
Ste 220
Parkersburg, WV 26101
Phone (304) 424-2276
705 Garfield Ave
Ste 180
Parkersburg, WV 26101
Phone (304) 422-1430
705 Garfield Ave
Ofc
Parkersburg, WV 26101
Phone (740) 274-0790
Interoperability endpoints
- galtdorfer108752@direct.wvuhsdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | 23294 | WV | Yes |
Addresses
Primary practice location
705 Garfield Ave
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26101-5444
Mailing address
PO Box 718
Medical Office BLDG. B., Suite 180
Parkersburg, WV 26102-0718
Phone (740) 274-0790
Other providers in Parkersburg, WV
- Amanda Allman
- Brooke Noel Allman
- Joan R Allman
- Thomas James Allman Jr.
- Shawna Renee Alloway
- Robbin Alton
- Eunice Amenyo
- Stacie Lynne Amick
- Kelly Amos
- Anatomical Designs, Inc.
All providers in Parkersburg, WV · Therapeutic Radiology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.