Stephen Derrick Eddy in Wheeling - Sports Medicine
Stephen Derrick Eddy - NPI 1255351201
Stephen Derrick Eddy is a Sports Medicine in Wheeling, . Stephen Derrick Eddy practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephen Derrick Eddy is 1255351201. The last update date is 2012-10-09.
Stephen Derrick Eddy's current location address is 30 Medical Park, Wheeling, . You can contact this provider via phone number 3042438630 and fax number 3042438575. The mailing address for Stephen Derrick Eddy is 30 Medical Park, Wheeling, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Derrick Eddy |
|---|---|
| Address | 30 Medical Park, Wheeling, |
| Phone Number | 3042438630 |
| Fax Number | 3042438575 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255351201 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 30 Medical Park |
|---|---|
| City | Wheeling |
| State | (WV) |
| Post Code | 260036391 |
| Phone Number | 3042438630 |
| Fax Number | 3042438575 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | 35084571 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00469047 | PA | RR MEDICARE | |
| 18294730001 | PA | -- | |
| 2679632 | OH | -- | |
| 3810006366 | WV | -- | |
| P00428195 | OH | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen Derrick Eddy by the Centers for Medicare & Medicaid Services?
The Stephen Derrick Eddy has been issued the NPI (National Provider Identifier) 1255351201, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stephen Derrick Eddy is physically located?
The Stephen Derrick Eddy is physically situated at the following address: 30 Medical Park, Wheeling, WV, 260036391.
What is Stephen Derrick Eddy's area of expertise and its corresponding taxonomy classification?
The Stephen Derrick Eddy's field of specialization is Sports Medicine, and it falls under the taxonomy code 207Rs0010X, which categorizes healthcare providers based on their areas of practice.
When was the Stephen Derrick Eddy's 1255351201 issued?
The Stephen Derrick Eddy's 1255351201 was issued on 2006-07-20.
When was the information regarding Stephen Derrick Eddy most recently updated?
The details pertaining to the Stephen Derrick Eddy, including its address, specialty, and other relevant information, were last refreshed on 2012-10-09.