Larry A Dodd, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

09198 Issued in WV

Practice address

20 Medical Park
Suite 223
Wheeling, WV 26003-6390

Phone

(304) 234-2061

Fax

(304) 234-2070

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Wheeling Hospital Inc

  • Clinic/Center
  • Wheeling, WV
  • NPI 1558664037
  NPD (past)
• Wilfredo a Tiu MD, PLLC

  • Otolaryngology Physician
  • Wheeling, WV
  • NPI 1851512768
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1780680793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6847",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030666",
            "telephone_number": "304-234-2061",
            "fax_number": "304-234-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK",
            "address_2": "SUITE 223",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036390",
            "telephone_number": "304-234-2061",
            "fax_number": "304-234-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "LARRY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "09198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419738",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802957000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lana Kristine Dingess
• Dino R Boni Jr MD PC
• Sylvia Rennings Diss, LICSW
• Courtney M Dobbs, BA
• Thomas Lee Dobbs Jr., MPT
• Benjamin Dodge, DO
• Jessica Lyn Dodson
• Antonio Maravillas Domaoal, MD
• Martha Ulyssa Donahue, MSN, FNP
• Donald E. Walter DDS PC

• Otolaryngology Physician in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.