=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801889720
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OSCAR FERNANDO FIGUEROA M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2005
-----------------------------------------------------
Last Update Date | 08/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 590 W RIDGE RD STE F
-----------------------------------------------------
City | WYTHEVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24382-1067
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-625-8866
-----------------------------------------------------
Fax | 276-625-8865
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1155 N 4TH ST STE 501
-----------------------------------------------------
City | WYTHEVILLE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24382-1097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 276-625-8866
-----------------------------------------------------
Fax | 276-625-8865
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | 0101235795
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------