Chad Micucci M.D. is an orthopedic with a current address of 200 Orthopedic Way Morgantown WV 26505-1240. The NPI is 1386899664, and the license number is 24024 (WV). It was issued on 11/30/2008. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on szeptember 8, 2012.
Chad Micucci M.D. can be reached by phone at 3045990720, by mail at 200 Orthopedic Way Morgantown WV 26505-1240, or by fax at 3045993962.
Name: Chad Micucci M.D.
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: No
Gender: Male
Practice Location Address:
200 Orthopedic Way
Morgantown
WV 26505-1240
Telephone Number: 3045990720
Fax Number: 3045993962
Mailing Address:
200 Orthopedic Way
Morgantown
WV 26505-1240
Telephone Number: 3045990720
Fax Number: 3045993962
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1386899664
Enumeration Date: 11/30/2008
Last Update: szeptember 8, 2012
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 24024
License State: WV
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 3810018320
Code Type: 5
Identifier State: WV
Identifier Issuer:
Other Identifiers (if any):