Provider Demographics
NPI:1487657631
Name:HUNTER, PAUL B (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:HUNTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:830 PENNSYLVANIA AVE
Mailing Address - Street 2:STE 402
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-3390
Mailing Address - Country:US
Mailing Address - Phone:304-343-4177
Mailing Address - Fax:304-343-5271
Practice Address - Street 1:830 PENNSYLVANIA AVE
Practice Address - Street 2:STE 402
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-3390
Practice Address - Country:US
Practice Address - Phone:304-343-5736
Practice Address - Fax:304-343-5271
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19845207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001722085OtherMS BCBS
WV7027011OtherAETNA
WV6200040000Medicaid
2031031Medicare PIN
2031034Medicare PIN
G98168Medicare UPIN
WV6200040000Medicaid
2031033Medicare PIN
2031037Medicare PIN
WV0883373Medicare PIN
WV0883371Medicare PIN
WV001722085OtherMS BCBS
2031032Medicare PIN