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WILLOUGHBY SHELTON HUNDLEY M.D. NPI 1457328767


NPI Information

NPI: 1457328767
Provider Name: WILLOUGHBY SHELTON HUNDLEY, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
969 MADISON STREET
SUITE/BOX 297
BOYDTON, VA
ZIP 23917
Phone: (434) 738-6911
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Willoughby Shelton Hundley, M.D. is an emergency medicine in Boydton, VA with 43 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Willoughby Shelton Hundley, M.D. NPI is 1457328767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

969 MADISON STREET
SUITE/BOX 297
BOYDTON, VA
ZIP 23917
Phone: (434) 738-6911
Fax: (434) 738-0431

The NPI 1457328767 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 3/6/2006 and was last updated on 11/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine9801679NORTH CAROLINANo
2207Q00000XFamily Medicine0101034527VIRGINIANo
3207Q00000XFamily Medicine9801679NORTH CAROLINANo
4207P00000XEmergency Medicine0101034527VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1265659OTHERVIRGIN ISLANDSANTHEM
2080007199MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
35644810MEDICAIDVIRGINIA
4B10004MEDICARE UPINVIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.