Provider Demographics
NPI:1801889720
Name:FIGUEROA, OSCAR FERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:FERNANDO
Last Name:FIGUEROA
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 1:1021 W OAKLAND AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2192
Mailing Address - Country:US
Mailing Address - Phone:423-302-6565
Mailing Address - Fax:
Practice Address - Street 1:103 WESTWOOD CMN
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-2031
Practice Address - Country:US
Practice Address - Phone:276-322-3947
Practice Address - Fax:276-322-2344
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17601207RS0012X, 207RP1001X, 207RC0200X
VA0101235795207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA180913OtherANTHEM BLUE CROSS
MAMSIOther3127619
WV3810007341Medicaid
WV1061838OtherWORKERS' COMPENSATION
VA010000238Medicaid
010151100OtherFEDERAL BLACK LUNG
WV001712425OtherMOUNTAIN STATE BLUE CROSS
AETNAOther4661750
VA010000238Medicaid
VAC09809Medicare ID - Type Unspecified
MAMSIOther3127619
WV9333741Medicare ID - Type Unspecified