DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MED EX PLLC

MEDICARE: MED EX PLLC
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
1103T00000XPsychologist
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1598718074
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED EX PLLC
Provider Business Mailing Address
First Line : 705 WASHINGTON ST
Second Line :
City : RAVENSWOOD
State : WV
Zip : 26164-1729
Country : US
Telephone Number : 800-824-2543
Fax Number : 330-862-2356
Provider Business Practice Location Address
First Line : 705 WASHINGTON ST
Second Line :
City : RAVENSWOOD
State : WV
Zip : 26164-1729
Country : US
Telephone Number : 800-824-2543
Fax Number : 330-862-2356
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD J. BLACKBURN
Credential : DO
Telephone Number : 800-824-2543
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/16/2007

Similar Medicare Providers

1538156518 — DR. ROBERT A HESS M.D.
Practice Location Address:
705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-6000
Practice Fax:
1275519878 — DR. RICHARD JAY BLACKBURN DO
Practice Location Address:
705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-6000
Practice Fax: 304-868-6002
1942407465 — EQUINOX LLC
Practice Location Address:
705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-6000
Practice Fax: 304-868-6002
1245549062 — BOBBI JO TEASLEY LPC, ALPS
Practice Location Address:
705 WASHINGTON ST # A
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-6000
Practice Fax:
1316350556 — MED EX PLLC
Practice Location Address:
705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-6000
Practice Fax: 304-868-6002
1023413226 — MATTHEW COLVIN PA-C
Practice Location Address:
705 WASHINGTON ST
RAVENSWOOD, WV
26164-1729
Practice Phone: 304-868-8000
Practice Fax:

Directions to “MED EX PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.