Provider Demographics
NPI:1487659058
Name:FILCHECK, EDWARD A (DPM)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:A
Last Name:FILCHECK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-2731
Mailing Address - Country:US
Mailing Address - Phone:304-599-5570
Mailing Address - Fax:304-599-5664
Practice Address - Street 1:1262 PINEVIEW DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2731
Practice Address - Country:US
Practice Address - Phone:304-599-5570
Practice Address - Fax:304-599-5664
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004294L213E00000X
WV331213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01698854Medicaid
WV0100061000Medicaid
PA01698854Medicaid
PAU68391Medicare UPIN
WV4176770001Medicare NSC
WV0851191Medicare ID - Type Unspecified