Provider Demographics
NPI:1477540748
Name:HESS, DAVID FREDERICK (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:FREDERICK
Last Name:HESS
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 1:908 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1002
Mailing Address - Country:US
Mailing Address - Phone:304-843-0036
Mailing Address - Fax:
Practice Address - Street 1:407 WHEELING AVE
Practice Address - Street 2:
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1536
Practice Address - Country:US
Practice Address - Phone:304-845-1500
Practice Address - Fax:304-845-1552
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20825208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001716694OtherBC BS
WV383653649-002OtherMEDICAL MUTUAL
WV897781OtherMAMSI
WV110243211OtherMEDICARE RAIL ROAD
WV7448339OtherAETNA
WV20825OtherHEALTH PLAN
WV5445974OtherCCN
WV2335137OtherOHIO MEDICAID
WV1059629OtherWV WORKERS COMP
WV1429197OtherHIGHMARK BC BS
WV2003100000Medicaid
WV20825Other4-MOST
WV186133OtherCARELINK
WV4492668-002OtherCIGNA
WV383653649-002OtherMEDICAL MUTUAL
WV2003100000Medicaid