Edward Barry Mcdonough
Sports Medicine Orthopaedic Surgeon
1 Medical Center Drive
Morgantown
, West Virginia 26506
Edward Barry Mcdonough
Sports Medicine Orthopaedic Surgeon
1 Medical Center Drive
Morgantown
, West Virginia 26506
(304) 598-4800
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Edward Barry Mcdonough
- Po Box 897
- Morgantown, WV
- Zip : 26507-0897
- Phone : (304) 598-4800
Second Address
- Edward Barry Mcdonough
- 1 Medical Center Drive
- Morgantown, WV
- Zip : 26506
- Phone : (304) 598-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 036112730 | IL |
National Provider Identifier
| NPI | 1235107202 |
|---|---|
| Provider Name | Edward Barry Mcdonough |
| First Address | Morgantown, WV 26507-0897 |
| Second Address | Morgantown, WV 26506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 06/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036112730 | (05) | IL |
| I12617 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.