Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 22602 | WV |
N | 207X00000X | Orthopaedic Surgeon | 35.098276 | OH |
NPI | 1013968742 |
---|---|
Provider Name | John David Crompton |
First Address | Point Pleasant, WV 25550 |
Second Address | Point Pleasant, WV 25550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 22/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001930213 | MOUNTAIN STATE BCBS (01) | WV |
001930217 | BCBS (01) | WV |
0060068 | (05) | OH |
3810007771 | (05) | WV |
3810018136 | (05) | WV |
4611047 | AETNA (01) | WV |
5162191 | UNITED HEALTHCARE (01) | WV |
563182 | CARELINK (01) | WV |