DR. ERIC J SACKNOFF M.D. NPI 1295734598

NPI Information

NPI: 1295734598
Provider Name: DR. ERIC J SACKNOFF, M.D.
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2900 1ST AVE STE 230
HUNTINGTON, WV
ZIP 25702
Phone: (304) 525-3711
Get Directions

DR. Eric J Sacknoff, M.D. is an urology in Huntington, WV. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Eric J Sacknoff, M.D. NPI is 1295734598. 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:

2900 1ST AVE STE 230
HUNTINGTON, WV
ZIP 25702-241
Phone: (304) 525-3711
Fax: (304) 525-2748

The NPI 1295734598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 7/9/2020.

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	208800000X	Urology		MD-46056	IOWA	No
2	208800000X	Urology		0101239642	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	1295734598	MEDICAID	VIRGINIA
2	463937	OTHER	VIRGINIA	SOUTHERN HEALTH
3	P01081069	OTHER	VIRGINIA	RAILROAD MEDICARE
4	199795	OTHER	VIRGINIA	ANTHEM
5	010281067	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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