VLAD CODREA (NPI# 1588059646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588059646 |
| Entity Type | Individual |
| Full Name | VLAD CODREA |
| Credential | M.D., PH.D. |
| Practice Address |
Mary Babb Randolph Cancer Center 1 Medical Center Dr. Morgantown WV 26506 |
| Mailing Address |
Po Box 9152 Health Sciences Center, Room G128 Morgantown WV 26506 |
| Practice Telephone | 3042938877 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
29743 | WV | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
S0270 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Office of The Department of Dermatology, 301 University Boulevard, 4.112, Mccullough Building, Galveston, TX 775550783 | 4097721943 |
| Street Address |
MARY BABB RANDOLPH CANCER CENTER 1 MEDICAL CENTER DR. |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479056 | Beckley Dermatology Inc. | Dermatology | 300 Kenton Dr Ste 2, Charleston, WV 25311-1266 | 2018-12-31 |
| 1275005316 | Beckley Dermatology Inc. | Dermatology | 1000 Tavern Rd Ste 400, Martinsburg, WV 25401-2853 | 2018-12-31 |
| 1740752880 | Beckley Dermatology Inc. | Dermatology | 300 Prosperity Ln Ste 207, Logan, WV 25601-3743 | 2018-12-31 |
| 1568076180 | Beckley Dermatology Inc. | Dermatology | 150 E 2nd Ave, Williamson, WV 25661-3602 | 2020-09-01 |
| 1578035606 | Beckley Dermatology Inc. | Dermatology | 508 New Hope Rd Ste 102, Princeton, WV 24740-2265 | 2018-12-31 |
| 1578717997 | Adeel Ahmad | Dermatology | 94 Brookshire Ln, Beckley, WV 25801-6765 | 2008-11-12 |
| 1033246814 | Gary A Ganzer | Dermatology | 58 16th St, Wheeling, WV 26003-3660 | 2007-02-27 |
| City | MORGANTOWN |
| Zip Code | 26506 |
Please comment or provide details below to improve the information on VLAD CODREA.
| 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.