David Leon Soulsby, MD | |
610 Chestnut St, South Charleston, WV 25309-1251 | |
(304) 766-7515 | |
(304) 766-7566 |
Full Name | David Leon Soulsby |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 610 Chestnut St, South Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508868043 | NPI | - | NPPES |
000503590 | Other | WV | BCBS WEST VIRGINIA |
0097603000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 13599 (West Virginia) | Primary |
Entity Name | Orthoclinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114000825 PECOS PAC ID: 0547238768 Enrollment ID: O20040923001294 |
Mailing Address | Practice Location Address |
---|---|
David Leon Soulsby, MD 138 Leslie Pl, Scott Depot, WV 25560-8902 Ph: (304) 757-2476 | David Leon Soulsby, MD 610 Chestnut St, South Charleston, WV 25309-1251 Ph: (304) 766-7515 |
Bruce Fredric Haupt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 610 Chestnut St, South Charleston, WV 25309 Phone: 304-766-7515 Fax: 304-766-7566 | |
Dr. Freddie Dominick Persinger, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 610 Chestnut St, South Charleston, WV 25309 Phone: 304-766-7515 Fax: 304-766-7566 | |
William David Mccormick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 60 Castle Pine Ln, South Charleston, WV 25309 Phone: 304-343-4691 | |
Matthew David Stover, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 610 Chestnut St, South Charleston, WV 25309 Phone: 304-766-7515 Fax: 304-766-7566 | |
Phillip D Surface, D.O Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4607 Maccorkle Ave Sw Ste 401, South Charleston, WV 25309 Phone: 304-414-2120 Fax: 304-414-2127 |