David Didden, M.D.
Individual provider Active NPI Family Medicine Physician · Shepherdstown, WV
NPI 1659375905 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1659375905
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 21679 (WV)
- Practice address
- 47 Bird Nest Way
Shepherdstown, WV 25443-3734 - Phone
- (304) 995-8240
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21679 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Shenandoah Valley Family Health Center | Family Medicine | Past | Accepting new patients |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System,Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients | |
| Potomac Integrative Health PLLC | Past | Accepting new patients | |
| Shenandoah Valley Medical System, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21679 | WV | Yes |
Addresses
Primary practice location
47 Bird Nest Way
Shepherdstown, WV 25443-3734
Mailing address
PO Box 1411
Shepherdstown, WV 25443-1411
Phone (304) 579-4746
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38100000820 | Medicaid | WV |
Other providers in Shepherdstown, WV
- Amber Annette Cummins
- Jordan Lee Davis
- Paul Davis
- Michelle M Destefano
- Sue Ann Devall
- Kalilou Djobo
- Paula Black Donohue
- Christine Hope Duewel
- Paloma Dugan
- Tanya Nicole Duncan
All providers in Shepherdstown, WV · Family Medicine 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 Mar 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.