Provider Demographics
NPI:1750340071
Name:OAKLEY, GERARD J (MD)
Entity type:Individual
Prefix:
First Name:GERARD
Middle Name:J
Last Name:OAKLEY
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 1:1400 HAL GREER BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-3656
Mailing Address - Country:US
Mailing Address - Phone:304-399-6609
Mailing Address - Fax:304-399-6621
Practice Address - Street 1:1400 HAL GREER BOULEVARD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3656
Practice Address - Country:US
Practice Address - Phone:304-399-6609
Practice Address - Fax:304-399-6621
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18886207V00000X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64941370Medicaid
WV0093379000Medicaid
OH0647867Medicaid
KY64941370Medicaid
OH0647867Medicaid