Shane Cook, MD | |
1934 11th Ave, Huntington, WV 25701-3722 | |
(304) 529-0900 | |
Not Available |
Full Name | Shane Cook |
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Gender | Male |
Speciality | Dermatology |
Location | 1934 11th Ave, Huntington, 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 |
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1942694971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 28697 (West Virginia) | Primary |
Entity Name | University Physicians & Surgeons, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730183286 PECOS PAC ID: 2961315734 Enrollment ID: O20031107000331 |
Entity Name | Boone Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050 |
Entity Name | Boone Memorial Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1639135221 PECOS PAC ID: 3375433352 Enrollment ID: O20061104000273 |
Mailing Address | Practice Location Address |
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Shane Cook, MD 1448 10th Ave Ste 304, Huntington, WV 25701-3579 Ph: (304) 691-8722 | Shane Cook, MD 1934 11th Ave, Huntington, WV 25701-3722 Ph: (304) 529-0900 |
Dr. Eduardo Miguel Vidal, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1400 Hal Greer Blvd Fl 2, Huntington, WV 25701 Phone: 304-691-1930 | |
Charles L Yarbrough, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1934 11th Ave, Huntington, WV 25701 Phone: 304-529-0900 Fax: 304-529-3913 | |
Elaine M Young, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1411 6th Ave, Huntington, WV 25701 Phone: 304-525-6132 Fax: 304-697-0471 | |
Vincent Adams, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Center Dr Ste 2000, Huntington, WV 25701 Phone: 304-691-1200 | |
Sandra E Marshall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5170 Us Route 60 E, Huntington, WV 25705 Phone: 304-528-4632 Fax: 304-697-3249 | |
Dylan Maldonado, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1934 11th Ave, Huntington, WV 25701 Phone: 304-691-1930 Fax: 304-691-6717 | |
Dr. Soham Chaudhari, D.O Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1934 11th Ave, Huntington, WV 25701 Phone: 304-529-0900 |