Individual provider Active NPI

Allen George Saoud, DO

  • Dermatology Physician
  • Bridgeport, WV
National Provider Identifier
1679669345
Registry record updated Apr 1, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Oct 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
906 Issued in WV
Practice address
170 Thompson Dr Ste 200
Bridgeport, WV 26330-2608
Phone
(304) 842-2273
Fax
(304) 842-2339
NPI assigned
Oct 4, 2006
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 906 WV Primary

Addresses

Primary practice location

170 Thompson Dr Ste 200
Bridgeport, WV 26330-2608

Mailing address

170 Thompson Dr Ste 200
PO Box 4550
Bridgeport, WV 26330-2608
Phone (304) 842-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
906WVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central WV Derm Assoc Inc Dermatology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1679669345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 THOMPSON DR STE 200",
            "address_2": "PO BOX 4550",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302608",
            "telephone_number": "304-842-2273",
            "fax_number": "304-842-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 THOMPSON DR STE 200",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263302608",
            "telephone_number": "304-842-2273",
            "fax_number": "304-842-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAOUD",
        "first_name": "ALLEN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.