JOHNNY DY MD NPI 1124050562

NPI Information

NPI: 1124050562
Provider Name: JOHNNY DY, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
401 S KANAWHA STREET
BECKLEY, WV
ZIP 25801
Phone: (304) 252-0699
Get Directions

Johnny Dy, MD is a neurology psychiatry neurology in Beckley, WV. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Johnny Dy, MD NPI is 1124050562. 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:

401 S KANAWHA STREET
BECKLEY, WV
ZIP 25801-637
Phone: (304) 252-0699
Fax: (304) 255-6719

The enumeration date for this NPI number is 7/7/2006 and was last updated on 2/26/2013.

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	2084N0400X	Psychiatry & Neurology	Neurology	10072	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	D49211	MEDICARE UPIN
2	0089998000	MEDICAID	WEST VIRGINIA
3	0402311	MEDICARE ID-TYPE UNSPECIFIED	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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