Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 21528 | WV |
N | 207X00000X | Orthopaedic Surgeon | ME135821 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 21528 | WV |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME135821 | FL |
NPI | 1205895000 |
---|---|
Provider Name | Charles E Giangarra |
First Address | Huntington, WV 25701-3659 |
Second Address | Huntington, WV 25701-3656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 17/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100184000 | (05) | FL |
2007525000 | (05) | WV |
2478028 | (05) | OH |
64077654 | (05) | KY |
A53288 | (02) | WV |