Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | COA-07664 | OH |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 79219 | WV |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9256944 | FL |
NPI | 1003832973 |
---|---|
Provider Name | Eric L. Ping |
First Address | Barboursville, WV 25504-4190 |
Second Address | Huntington, WV 25702-1236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001714159 | MOUNTAIN STATE BCBS (01) | |
2509824 | MOLINA MEDICAID (01) | OH |
7100148470 | (05) | KY |
7103250000 | (05) | WV |
NP39681 | (02) | WV |
P00129285 | RR MEDICARE (01) | |
P00924317 | RR MEDICAID (01) | WV |