Healthcare Provider Details

I. General information

NPI: 1043273642
Provider Name (Legal Business Name): TROY LYNN SEDLMEYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 FAIRMONT RD
MORGANTOWN WV
26501-3847
US

IV. Provider business mailing address

1197 VAN VOORHIS RD
MORGANTOWN WV
26505-3478
US

V. Phone/Fax

Practice location:
  • Phone: 304-292-7316
  • Fax: 304-296-4408
Mailing address:
  • Phone: 304-598-2233
  • Fax: 304-599-9536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21396
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: