TERRY L STAKE M.D. NPI 1023085552

NPI Information

NPI: 1023085552
Provider Name: TERRY L STAKE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1 MEDICAL PARK
WHEELING, WV
ZIP 26003
Phone: (304) 243-3270
Get Directions

Terry L Stake, M.D. is a diagnostic radiology radiology in Wheeling, WV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Terry L Stake, M.D. NPI is 1023085552. 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:

1 MEDICAL PARK
WHEELING, WV
ZIP 26003-379
Phone: (304) 243-3270

The enumeration date for this NPI number is 3/3/2006 and was last updated on 7/8/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	14313	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	Other Provider Identifier Issuer
1	14313A	OTHER		HEALTH PLAN OF UPPER OH V
2	E29720	MEDICARE UPIN
3	0117198000	MEDICAID	WEST VIRGINIA
4	300117903	OTHER	WEST VIRGINIA	RAILROAD MEDICARE
5	000864293	OTHER	WEST VIRGINIA	MT STATE BCBS
6	0222011	MEDICAID	OHIO
7	0641222	MEDICARE PIN	OHIO
8	0641223	MEDICARE PIN	WEST VIRGINIA
9	300040909	OTHER	OHIO	RAILROAD MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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