Individual provider Active NPI

Panayotis Ignatiadis, MD

  • Neurological Surgery Physician
  • Huntington, WV
National Provider Identifier
1972697969
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
12268 Issued in WV
Practice address
2900 1St Ave
Opc Suite 10
Huntington, WV 25702-0107
Phone
(304) 525-6825
Fax
(304) 525-0300
NPI assigned
Oct 3, 2006
Last updated
May 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 12268 WV Primary

Addresses

Primary practice location

2900 1St Ave
Opc Suite 10
Huntington, WV 25702-0107

Mailing address

PO Box 4190
Barboursville, WV 25504-4190
Phone (304) 399-4405

Other practice location 1

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 397-3002

Other identifiers 6

IdentifierTypeStateIssuer
000000287965OtherOHOH UNISON
0089539000MedicaidWV
0442819MedicaidOH
0790289OtherWVCIGNA
613918805OtherWVBLACK LUNG/FECA
64694177MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address panayotis.ignatiadis@smmm.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000721 WV Practitioner - Neurosurgery 0042278681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 397-3002

20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 831-1602

2828 1St Ave
Huntington, WV 25702-1241

2900 1St Ave
Huntington, WV 25702-1241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Medical Management, LLC CurrentSince Nov 1, 2017 Accepting new patients
St. Mary's Medical Management, LLC Neurological Surgery CurrentSince Nov 1, 2017 Accepting new patients
Tri State Neuroscience Center Inc Neurological Surgery Past Accepting new patients

Locations

2860 3rd Ave
Ste 10
Huntington, WV 25702
Phone (304) 525-2495

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

2900 1st Ave
Ste 10
Huntington, WV 25702
Phone (304) 525-2495

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

Interoperability endpoints

  • Direct secure messaging: panayotis.ignatiadis@smmm.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1972697969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4190",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044190",
            "telephone_number": "304-399-4405",
            "fax_number": "304-399-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "address_2": "OPC SUITE 10",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257020107",
            "telephone_number": "304-525-6825",
            "fax_number": "304-525-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Willow Tree Way",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255261085",
            "country_code": "US",
            "telephone_number": "304-397-3002",
            "fax_number": "304-397-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGNATIADIS",
        "first_name": "PANAYOTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-05-19",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "12268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH UNISON",
            "identifier": "000000287965",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089539000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442819",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0790289",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "613918805",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64694177",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "panayotis.ignatiadis@smmm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2900 1st Ave",
            "address_2": "OPC Suite 10",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257020107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.