DR. FRED T. PULIDO JR. (NPI# 1114986031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114986031 |
| Entity Type | Individual |
| Full Name | DR. FRED T. PULIDO JR. |
| Credential | M.D. |
| Practice Address |
1213 Virginia St E Third Floor Charleston WV 25301-2908 |
| Practice Telephone | 3043455466 |
| Practice Fax Number | 3043455472 |
| Mailing Telephone | 3043455466 |
| Mailing Fax Number | 3043455472 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 10371 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | CIGNA | 0359506 | 01 |
| WV | MAMSI | 225394 | 01 |
| WV | 0114257000 | 05 | |
| WV | U.S. DEPT. OF LABOR | 3572755200 | 01 |
| Street Address |
1213 VIRGINIA ST E THIRD FLOOR |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649794348 | Falbo Monday & Graziani Pllc | Clinic/Center | 1213 Virginia St E, Charleston, WV 25301-2941 | 2017-08-03 |
| 1942353719 | Fred T. Pulido, Jr., M.d., P.C. | Plastic Surgery | 1213 Virginia St E, Third Floor, Charleston, WV 25301-2908 | 2007-01-18 |
| 1356458236 | Falbo & Monday Pllc | Dentist | 1213 Virginia St E, Charleston, WV 25301-2908 | 2006-08-24 |
| 1023123254 | Daniel K Monday | Dentist | 1213 Virginia St E, Charleston, WV 25301-2908 | 2006-08-20 |
| 1356350102 | John M. Falbo | Dentist | 1213 Virginia St E, Charleston, WV 25301-2908 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346432614 | Tracy Leigh Cordray | Plastic Surgery | 44 Folly Road Blvd Ste C, Charleston, SC 29407-7559 | 2007-08-10 |
| 1689755472 | Jeffrey Norman Thaxton | Plastic Surgery | 505 Capitol St Ste 100, Charleston, WV 25301-1204 | 2006-10-18 |
| 1194815704 | Marga Faith Massey | Plastic Surgery | 125 Doughty St Ste 590, Charleston, SC 29403-5744 | 2006-10-13 |
| 1639288228 | Fredric D Schuh | Plastic Surgery | 65 Gadsden St, Charleston, SC 29401-1145 | 2006-08-29 |
| 1972510873 | Integrated Health Care Providers, Inc. | Plastic Surgery | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2006-08-02 |
| 1871513150 | Peter C Devito | Plastic Surgery | 1050 Saint Andrews Blvd, Charleston, SC 29407-7173 | 2006-07-20 |
| 1942258561 | Anne Louise Edwards | Plastic Surgery | 2097 Henry Tecklenburg Drive, Suite 322 West, Charleston, SC 29414 | 2006-05-05 |
| 1447257035 | William Andrew Stewart | Plastic Surgery | 505 Capitol St, Charleston, WV 25301-1204 | 2005-06-28 |
| 1093316184 | Taylor Mackenzie Summers | Plastic Surgery | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2020-11-04 |
| 1376150755 | Nathaniel Lewis Rainey | Plastic Surgery | 210 Brooks St Ste 200, Charleston, WV 25301-1848 | 2020-09-29 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.