Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 0101047289 | VA |
N | 207RI0011X | Interventional Cardiology | 16632 | WV |
NPI | 1003811563 |
---|---|
Provider Name | Dr. Neal S Gaither |
First Address | Winchester, VA 22601-2896 |
Second Address | Winchester, VA 22601-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 14/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006048463 | (05) | VA |
0074126000 | (05) | WV |
030780 | ANTHEM BCBS (01) | VA |
082425 | SOUTHERN HEALTH (01) | |
2119573 | MAMSI (01) | |
44242 | COMMUNITYHEALTH SENTARA (01) | |
502795 | NCPPO (01) | |
754451100 | (05) | MD |
9318661 | MEDICARE GROUP (01) | WV |
C00075 | MEDICARE GROUP (01) | VA |
E99960 | (02) |