MEDICARE: DR. SALVATORE CONTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	R5409	MO
2	174400000X	Specialist	24090	WV
3	2085R0001X	Radiation Oncology Physician	24090	WV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	300041329	OTHER	MO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	18989	OTHER	IL	BLUE CROSS/BLUE SHIELD
2	203803	OTHER	MO	BLUE CROSS/BLUE SHIELD
3	18990	OTHER	MO	BLUE CHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194706275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SALVATORE CONTI M.D.

Provider Business Mailing Address
First Line	:	1400 HAL GREER BLVD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-4114
Country	:	US
Telephone Number	:	304-399-6501
Fax Number	:	304-399-6528

Provider Business Practice Location Address
First Line	:	1400 HAL GREER BLVD
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-4114
Country	:	US
Telephone Number	:	304-399-6501
Fax Number	:	304-399-6528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	10/25/2010

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