MELCHOR F VIDAL (NPI# 1063515054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063515054 |
| Entity Type | Individual |
| Full Name | MELCHOR F VIDAL |
| Credential | MD |
| Practice Address |
27545 Daniel Boone Prkwy Racine WV 25165 |
| Mailing Address |
Po Box 4535 Charleston WV 25364-4535 |
| Practice Telephone | 3048378637 |
| Mailing Telephone | 3048378637 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
13443 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0049855001 | 05 |
| Street Address |
27545 DANIEL BOONE PRKWY |
| City | RACINE |
| State | WV |
| Zip Code | 25165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714127 | Melchor F Vidal Md Pllc | Family Medicine | Corner Rt 3 and 94, Racine, WV 25165 | 2007-05-29 |
| 1124017637 | Boone County Ambulance Authority | Ambulance | 1 Ems Circle, Racine, WV 25165 | 2005-10-18 |
| 1134681075 | Margaret Gail Pratt | Nurse Practitioner | 533 River Rd, Racine, WV 25165-9533 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1215537071 | Jacqueline Albino | Registered Nurse | 1431 Johnson Ave, Racine, WI 53402-2549 | 2020-10-29 |
| 1811597933 | Mount Pleasant Homes LLP | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1917 Mount Pleasant St, Racine, WI 53404-2236 | 2020-10-28 |
| 1851990436 | Bv/mstar Caledonia Tenant, LLC | Alzheimer Center (Dementia Center) | 5737 Erie St, Racine, WI 53402-1970 | 2020-10-23 |
| 1457966731 | Denise Brown | Licensed Practical Nurse | 1215 Monroe Ave, Racine, WI 53405-2862 | 2020-09-13 |
| 1639784366 | Kati Dobbs | In Home Supportive Care | 1226 Grove Ave, Racine, WI 53405-3043 | 2020-09-10 |
| 1932719580 | Wheaton Franciscan Healthcare Southeast Wisconsin Inc | Clinic/Center | 2333 Northwestern Ave Ste 115, Racine, WI 53404-2520 | 2020-08-07 |
| 1700494689 | Rebecca J Burchi | Student in an Organized Health Care Education/Training Program | 3004 Olive St, Racine, WI 53403-2826 | 2020-07-16 |
| 1396365128 | Paige Harpenau | Physical Therapy Assistant | 4821 Tanglewood Ave, Racine, WI 53402-2544 | 2020-04-22 |
| Find all providers in RACINE | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316436694 | Erona Reza | Family Medicine | 6040 University Town Centre Drive, Morgantown, WV 26501-2421 | 2018-05-02 |
| 1013136464 | Mehran Khajavi | Family Medicine | 1004 Sushruta Dr Ste C, Martinsburg, WV 25401-8801 | 2007-04-24 |
| 1629004221 | Collaborative Geriatrics, Inc. | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2006-06-24 |
| 1568455442 | Alan L. Barnett | Family Medicine | 933 Cheat Rd, Morgantown, WV 26508-5631 | 2005-08-25 |
| 1548252281 | Vincent Walter Delagarza | Family Medicine | 1 Stadium Drive, Health Sciences Center, Morgantown, WV 26505 | 2005-08-18 |
| 1437426780 | Summersville Family Medicine Inc | Family Medicine | 211 Merchants Walk, Shopping Center, Summersville, WV 26651-1901 | 2011-11-30 |
| 1598979320 | Ambryan L White | Family Medicine | 414 Mahoganywood Dr, Milton, WV 25541-1181 | 2007-05-10 |
| 1821162207 | William Lee Harris | Family Medicine | 3100 Maccorkle Ave Se, Suite 307, Charleston, WV 25304-1223 | 2006-11-20 |
| 1821180530 | William C Mercer | Family Medicine | 58 16th St, 3rd Floor, Wheeling, WV 26003-3660 | 2006-09-29 |
| 1184654832 | Sivaparvati Thagirisa | Family Medicine | One Medical Center Drive, Louis A. Johnson Va Medical Center, Diagnostic Service, Clarksburg, WV 26301 | 2006-07-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.