Provider Demographics
NPI:1982681607
Name:AKERS, PAUL DEXTER II (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:DEXTER
Last Name:AKERS
Suffix:II
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 910
Mailing Address - Street 2:RADIOLOGY INC
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25712-0910
Mailing Address - Country:US
Mailing Address - Phone:304-522-1550
Mailing Address - Fax:304-522-1073
Practice Address - Street 1:3448 US ROUTE 60
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2906
Practice Address - Country:US
Practice Address - Phone:304-522-1550
Practice Address - Fax:304-522-0704
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY382922085R0202X
OH35-076337-A2085R0202X
WV211622085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000158738OtherUNISON
KY6404950500Medicaid
WV55049337600OtherWORKMANS COMP
001718784OtherMTN STATE BCBS
OH2309264Medicaid
WV300021811OtherRR MEDICARE (WV)
7948363OtherAETNA
WV1841762000Medicaid
KY50007237OtherPASSPORT
KYP00766027OtherRR MEDICARE (KY)
WV300021811OtherRR MEDICARE (WV)
KYP00766027OtherRR MEDICARE (KY)
KY6404950500Medicaid
OH4073495Medicare PIN