Provider Demographics
NPI:1043431406
Name:FLEMING, RONALD CHEVINE (DO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:CHEVINE
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1435
Mailing Address - Country:US
Mailing Address - Phone:304-367-7100
Mailing Address - Fax:304-799-2229
Practice Address - Street 1:1325 LOCUST AVENUE
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-9643
Practice Address - Country:US
Practice Address - Phone:304-367-7100
Practice Address - Fax:304-799-2229
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2256207P00000X
OH5850207R00000X
KY02932207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV5560000381OtherTAX ID
WV5560000381OtherTAX ID