ANDREA M VALLEJOS MD NPI 1477767754

NPI Information

  • NPI: 1477767754
  • Provider Name: ANDREA M VALLEJOS, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1630 13TH AVENUE
    HUNTINGTON, WV
    ZIP 25701
  • Phone: (304) 697-2014

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NPI Details

Andrea M Vallejos, MD is an obstetrics gynecology in Huntington, WV with 20 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Andrea M Vallejos, MD NPI is 1477767754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2006

The provider's business location address is:

1630 13TH AVENUE
HUNTINGTON, WV
ZIP 25701
Phone: (304) 697-2014

The NPI 1477767754 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 5/9/2007 and was last updated on 12/22/2014.

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
1207V00000XObstetrics & Gynecology24052WEST VIRGINIAYes

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
13810017819MEDICAIDWEST VIRGINIA
22033691MEDICARE PINWEST VIRGINIA
33074284MEDICAIDOHIO
44295921MEDICARE PINWEST VIRGINIA
5000000665311OTHERWEST VIRGINIAANTHEM
6000000306218OTHERWEST VIRGINIAUNISON
77100124710MEDICAIDKENTUCKY

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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