Provider Demographics
NPI:1568461077
Name:ALDERMAN, FRANK W (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:W
Last Name:ALDERMAN
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 1:1751 EARL CORE RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505
Mailing Address - Country:US
Mailing Address - Phone:304-225-2500
Mailing Address - Fax:304-225-2576
Practice Address - Street 1:215 DON KNOTTS BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26501-6734
Practice Address - Country:US
Practice Address - Phone:304-291-3627
Practice Address - Fax:304-284-8667
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19525207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV550783964001OtherMT STATE BCBS
WVWV19525AOtherHEALTH PLAN
WV1801129000Medicaid
WVWV19525AOtherHEALTH PLAN
WV1801129000Medicaid