DR. RONALD ALAN MUDRY MD NPI 1710081864

NPI Information

NPI: 1710081864
Provider Name: DR. RONALD ALAN MUDRY, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
911 GORMAN AVE
SUITE 201
ELKINS, WV
ZIP 26241
Phone: (304) 637-6302
Get Directions

DR. Ronald Alan Mudry, MD is a pulmonary disease internal medicine in Elkins, WV. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Ronald Alan Mudry, MD NPI is 1710081864. 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:

911 GORMAN AVE
SUITE 201
ELKINS, WV
ZIP 26241-082
Phone: (304) 637-6302
Fax: (304) 637-6307

The NPI 1710081864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 10/27/2014.

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
1	207R00000X	Internal Medicine		21547	WEST VIRGINIA	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	21547	WEST VIRGINIA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	21547	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	Other Provider Identifier Issuer
1	3810008329	MEDICAID	WEST VIRGINIA
2	1710081864	OTHER		MOUNTAIN STATE BCBS
3	WV21547A	OTHER	WEST VIRGINIA	HEALTH PLAN
4	4254081	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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