Individual provider Active NPI

Constantinos Constantinou, M.D.

  • Vascular Surgery Physician
  • Huntington, WV
National Provider Identifier
1992960702
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
24888 Issued in WV
Practice address
1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656
Phone
(304) 691-1200
Fax
(304) 691-1209
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24888 WV
Vascular Surgery Physician 2086S0129X 24888 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656
Phone (304) 691-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180117000269 MI Practitioner - Vascular Surgery 8426209586 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Mymichigan Medical Center West BranchGroup PAC ID 7214251081, 75 clinicians

Practice addresses (Care Compare)

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (989) 356-7000

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 839-3060

2431 S M
30 Suite 216
West Branch, MI 48661-9388
Phone (989) 343-1130

2660 W Sugnet Rd
Midland, MI 48640-2647

300 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 463-1101

3051 Kiesel Rd
Bay City, MI 48706-2449
Phone (989) 778-2890

320 E Warwick Dr
Wound Treatment Center
Alma, MI 48801-1014
Phone (989) 466-7020

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-3060

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

4599 Towne Centre Rd
Saginaw, MI 48604-2804
Phone (989) 839-3385

4851 E Pickard St
Mt Pleasant, MI 48858-2029
Phone (989) 837-9280

515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286

703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 839-3060

805 W Cedar St
Standish, MI 48658-9526
Phone (989) 839-3060

9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 839-6201

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)32
Removal of tissue58
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24888WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Mar 28, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Aug 29, 2024 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Sep 1, 2025 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Oct 21, 2021 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Aug 29, 2024 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Mymichigan Medical Center Tawas Current Accepting new patients
Mymichigan Medical Center Tawas Surgery CurrentSince Sep 1, 2025 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Oct 21, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Mar 28, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients

Locations

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

4851 E Pickard St
Ste 1600
Mount Pleasant, MI 48858
Phone (989) 466-3621

4701 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 780-2455

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

200 Hemlock Rd
Tawas City, MI 48763
Phone (989) 362-3411

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

2431 S M 30
Ste 216
West Branch, MI 48661
Phone (989) 343-1134

Interoperability endpoints

  • Direct secure messaging: cconstantinou71965@mymichiganhealth.midirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1992960702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 2500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 2500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINOU",
        "first_name": "CONSTANTINOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "24888",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "24888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.