Provider Demographics
NPI:1639238728
Name:MCCOMAS, CARL F (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:F
Last Name:MCCOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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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:304-399-4405
Mailing Address - Fax:304-399-2526
Practice Address - Street 1:2900 1ST AVE
Practice Address - Street 2:OPC SUITE 20
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25702
Practice Address - Country:US
Practice Address - Phone:304-525-2495
Practice Address - Fax:304-525-0764
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2021-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV124272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0510414Medicaid
WV0083886000Medicaid
KY64695133Medicaid
WV0083886000Medicaid
KY64695133Medicaid