JEFFERY F ADDISON MD NPI 1972548618

NPI Information

NPI: 1972548618
Provider Name: JEFFERY F ADDISON, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
331 LAIDLEY ST STE 307
CHARLESTON, WV
ZIP 25301
Phone: (304) 208-1414
Get Directions

Jeffery F Addison, MD is a nephrology internal medicine in Charleston, WV. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jeffery F Addison, MD NPI is 1972548618. 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:

331 LAIDLEY ST STE 307
CHARLESTON, WV
ZIP 25301-605
Phone: (304) 208-1414
Fax: (304) 344-2108

The enumeration date for this NPI number is 6/17/2006 and was last updated on 5/26/2010.

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	207RN0300X	Internal Medicine	Nephrology	15775	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	2496080	OTHER		OHIO JOB & FAMILY SERVICES
2	271503047	OTHER		TRICARE
3	10010042	OTHER	WEST VIRGINIA	BRICKSTREET
4	1972548618	OTHER		AETNA
5	E30478	MEDICARE UPIN
6	197254861	OTHER		PEIA
7	614835100	OTHER		FEDERAL WORKERS COMP
8	271503047	OTHER	WEST VIRGINIA	MSBCBS
9	AD4136491	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
10	6608290	OTHER		CIGNA
11	3810000347	MEDICAID	WEST VIRGINIA
12	2496080	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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