Provider Demographics
NPI:1851461032
Name:HUNTINGTON PODIATRY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:HUNTINGTON PODIATRY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:304-529-7164
Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25709-0485
Mailing Address - Country:US
Mailing Address - Phone:304-529-7164
Mailing Address - Fax:304-529-0197
Practice Address - Street 1:1320 7TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-2904
Practice Address - Country:US
Practice Address - Phone:304-529-7164
Practice Address - Fax:304-529-0197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0009053000Medicaid
WVCM8876OtherRR MEDICARE
OH0915531Medicaid
WV9300971Medicare PIN
KY0221390001Medicare NSC
WVCM8876OtherRR MEDICARE
OH0915531Medicaid