JOHN N. UDALL M.D. – NPI #1346341211
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

JOHN UDALL is a physician located in CHARLESTON, WV. NPPES has assigned the NPI number 1346341211 to JOHN UDALL on September 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN UDALL below.

NPI Profile for
JOHN N. UDALL

NPI Number
1346341211
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN N. UDALL
Credentials
M.D.
Primary location
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302
Phone: (304) 388-1552 Fax: (304) 388-1577
Mailing address
PO BOX 7000
MORGANTOWN, WV 26507-7000
Phone: (304) 347-1290 Fax: (304) 347-1397
Sole Proprietor
No
Updated
Identifiers

Identifiers for JOHN UDALL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV3810001803
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)
WV 21878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.