Provider Demographics
NPI:1073590790
Name:DRANSFELD, JOSEPH WERNER (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:WERNER
Last Name:DRANSFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:RADIOLOGY INC
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25712-0910
Mailing Address - Country:US
Mailing Address - Phone:304-522-1550
Mailing Address - Fax:304-522-1073
Practice Address - Street 1:5221 US ROUTE 60 E
Practice Address - Street 2:RADIOLOGY INC
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2022
Practice Address - Country:US
Practice Address - Phone:304-522-1550
Practice Address - Fax:304-522-0704
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY329862085R0202X
OH35-081267D2085R0202X
AZ731972085R0202X
WV189672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000196361OtherUNISON
WV550493376 00OtherWORKMANS COMP
5709623OtherAETNA
001718778OtherMTN STATE BC BS
WV0122077000Medicaid
OH2018720Medicaid
KY6494173500Medicaid
KY50002020OtherPASSPORT
WV300081811OtherRR MEDICARE (WV)
WV300081811OtherRR MEDICARE (WV)
OH000000196361OtherUNISON
5709623OtherAETNA
OH0827443Medicare PIN