Jack R Traylor is a Surgery in Huntington, . Jack R Traylor practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jack R Traylor is 1174582456. The last update date is 2021-05-03.
Jack R Traylor's current location address is 1400 Hal Greer Boulevard, Huntington, . You can contact this provider via phone number 3043996609 and fax number 3043996621. The mailing address for Jack R Traylor is 1400 Hal Greer Boulevard, Huntington, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R Traylor |
|---|---|
| Address | 1400 Hal Greer Boulevard, Huntington, |
| Phone Number | 3043996609 |
| Fax Number | 3043996621 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174582456 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2021-05-03 |
Provider Mailing Address Detail
| Address | 1400 Hal Greer Boulevard |
|---|---|
| City | Huntington |
| State | (WV) |
| Post Code | 257013656 |
| Phone Number | 3043996609 |
| Fax Number | 3043996621 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 12969 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 128350000 | WV | -- | |
| 64694771 | KY | -- | |
| 491258 | OH | -- |
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What is the Jack R Traylor's unique identification number?
The Jack R Traylor has been assigned the NPI (National Provider Identifier) Number 1174582456 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jack R Traylor located?
The Jack R Traylor is located at 1400 Hal Greer Boulevard, Huntington, WV 257013656.
What is Jack R Traylor's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack R Traylor is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1174582456 to Jack R Traylor?
The Centers for Medicare & Medicaid Services assigned the 1174582456 to Jack R Traylor on 2006-03-23.
As of what date were the Jack R Traylor's details last updated?
The information pertaining to the Jack R Traylor, including its address, specialty, and other details, was most recently updated on 2021-05-03.