Provider Demographics
NPI:1588652192
Name:DANS, NESTOR F (MD)
Entity Type:Individual
Prefix:
First Name:NESTOR
Middle Name:F
Last Name:DANS
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 4190
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-4190
Mailing Address - Country:US
Mailing Address - Phone:304-908-9202
Mailing Address - Fax:304-399-2526
Practice Address - Street 1:2828 1ST AVE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702-1236
Practice Address - Country:US
Practice Address - Phone:304-399-7530
Practice Address - Fax:304-399-7532
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME72755208G00000X
WVWV20189208G00000X
MI4301108585208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001712220OtherBCBS OF WV
FLP01281027OtherRR MEDICARE
FL002949600Medicaid
WV1801218000Medicaid
FL21098XMedicare PIN
FLP01281027OtherRR MEDICARE
WVE95125Medicare UPIN
FLE95125Medicare UPIN
FLE95125Medicare UPIN