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NPI Code Detail

MEDICARE: TONY VIRGIN M.D.

MEDICARE: TONY VIRGIN 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
1207Q00000XFamily Medicine Physician35-080020OH
2207Q00000XFamily Medicine Physician37987KY
3122300000XDentist15995OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00000193OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669568044
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY VIRGIN M.D.
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : ASHLAND
State : KY
Zip : 41105-1595
Country : US
Telephone Number : 606-408-4000
Fax Number : 606-408-3611
Provider Business Practice Location Address
First Line : 912 PARK AVE
Second Line :
City : IRONTON
State : OH
Zip : 45638-1596
Country : US
Telephone Number : 740-534-0021
Fax Number : 740-534-0029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 03/18/2011

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Directions to “ TONY VIRGIN M.D.” Practice Location

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