Healthcare Provider Details

I. General information

NPI: 1750340071
Provider Name (Legal Business Name): GERARD J OAKLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 HAL GREER BOULEVARD
HUNTINGTON WV
25701-3656
US

IV. Provider business mailing address

1400 HAL GREER BOULEVARD
HUNTINGTON WV
25701-3656
US

V. Phone/Fax

Practice location:
  • Phone: 304-399-6609
  • Fax: 304-399-6621
Mailing address:
  • Phone: 304-399-6609
  • Fax: 304-399-6621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number18886
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number18886
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: