JOHNNY DY (NPI# 1124050562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124050562 |
| Entity Type | Individual |
| Full Name | JOHNNY DY |
| Credential | MD |
| Practice Address |
401 S Kanawha Street Beckley WV 25801-3637 |
| Mailing Address |
2401 S Kanawha Street Beckly WV 25801-3637 |
| Practice Telephone | 3042520699 |
| Practice Fax Number | 3042556719 |
| Mailing Telephone | 3042520699 |
| Mailing Fax Number | 3042556719 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
10072 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0089998000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021664 | Johnny Reyes Dy | Internal Medicine | 639 Pennton Ave Sw, Lenoir, NC 28645-5743 | 2006-04-10 |
| Street Address |
401 S KANAWHA STREET |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508245572 | Vasile Nicolae Popa | Psychiatry & Neurology | 1256 N Eisenhower Dr Ste 700, Beckley, WV 25801-3120 | 2015-05-24 |
| 1043489776 | Georgianna M Richards | Psychiatry & Neurology | 415 Carriage Dr, Beckley, WV 25801-2805 | 2008-02-27 |
| 1205281847 | Aman Deep | Psychiatry & Neurology | 1256 N Eisenhower Dr Ste 700, Beckley, WV 25801-3120 | 2016-05-02 |
| 1700267770 | Pascal Atanga | Psychiatry & Neurology | 1710 Harper Rd, Beckley, WV 25801-3397 | 2015-06-15 |
| 1629498431 | Elizabeth Marianne Bass | Psychiatry & Neurology | 1710 Harper Rd, Beckley, WV 25801 | 2014-04-18 |
| 1679902860 | The Neurology Center Professional Corporation | Psychiatry & Neurology | 415 Carriage Dr, Beckley, WV 25801 | 2013-11-07 |
| 1639124878 | Vaught Neurological Services | Psychiatry & Neurology | 3155 Robert C Byrd Dr, Beckley, WV 25801-3726 | 2006-05-24 |
| 1194770339 | Barry K Vaught | Psychiatry & Neurology | 3155 Robert C Byrd Dr, Beckley, WV 25801-3726 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614512 | Synoptic Neurosciences Institute Inc | Psychiatry & Neurology | 1200 Harrison Ave Ste 146, Elkins, WV 26241 | 2017-04-28 |
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1679716823 | James H. Sherry | Psychiatry & Neurology | 740 Cobun Creek Rd, Suite 1, Morgantown, WV 26508-3827 | 2009-04-16 |
| 1760506018 | Mouhannad Azzouz | Psychiatry & Neurology | 1325 Locust Ave Fl 3, Fairmont, WV 26554-1435 | 2007-03-19 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1457457723 | Alvaro R. Gutierrez | Psychiatry & Neurology | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2006-09-15 |
| 1063517753 | Panhandle Neurology Center, Inc. | Psychiatry & Neurology | 156 Health Care Ln, Martinsburg, WV 25401-4009 | 2006-09-14 |
| 1366552226 | Khalid Razzaq | Psychiatry & Neurology | 1424 Stadium Drive, Bluefield, WV 24701 | 2006-08-30 |
| 1043323199 | Adnan Alghadban | Psychiatry & Neurology | 527 Medical Park Drive, Ste. 204, Associated Specialists, Inc., Bridgeport, WV 26330 | 2006-08-15 |
| 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.