STEPHEN DERRICK EDDY MD NPI 1255351201

NPI Information

  • NPI: 1255351201
  • Provider Name: STEPHEN DERRICK EDDY, MD
  • Classification: Internal Medicine - 207RS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 30 MEDICAL PARK
    SUITE 201
    WHEELING, WV
    ZIP 26003
  • Phone: (304) 243-8630

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NPI Details

Stephen Derrick Eddy, MD is a sports medicine internal medicine in Wheeling, WV. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. Stephen Derrick Eddy, MD NPI is 1255351201. 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:

30 MEDICAL PARK
SUITE 201
WHEELING, WV
ZIP 26003-391
Phone: (304) 243-8630
Fax: (304) 243-8575

The enumeration date for this NPI number is 7/20/2006 and was last updated on 10/9/2012.

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
1207RS0010XInternal MedicineSports MedicinePA MD429317PENNSYLVANIANo
2207RS0010XInternal MedicineSports Medicine35084571OHIOYes

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
13810006366MEDICAIDWEST VIRGINIA
24189241MEDICARE PINOHIO
3I58189MEDICARE UPIN
40018294730001MEDICAIDPENNSYLVANIA
5P00428195OTHEROHIOMEDICARE RAILROAD
6106877PK7MEDICARE PINPENNSYLVANIA
7P00469047OTHERPENNSYLVANIARR MEDICARE
82679632MEDICAIDOHIO
94189242MEDICARE PINOHIO

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: 11/21/2025

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