TEODORO G MEDINA M.D. NPI 1134175094

NPI Information

NPI: 1134175094
Provider Name: TEODORO G MEDINA, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
2 CHENOWETH DR STE A
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 842-5449
Get Directions

Teodoro G Medina, M.D. is a gastroenterology internal medicine in Bridgeport, WV. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Teodoro G Medina, M.D. NPI is 1134175094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 CHENOWETH DR STE A
BRIDGEPORT, WV
ZIP 26330-688
Phone: (304) 842-5449
Fax: (304) 842-5440

The enumeration date for this NPI number is 5/25/2006 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		12904	WEST VIRGINIA	No
2	207RG0100X	Internal Medicine	Gastroenterology	12904	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0083622000	MEDICAID	WEST VIRGINIA
2	ME0899931	MEDICARE PIN	WEST VIRGINIA
3	D49543	MEDICARE UPIN	WEST VIRGINIA
4	ME4013361	MEDICARE PIN	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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