| NPI | 1053370056 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-03-20 |
| Last Updated | 2007-11-12 |
| Mailing Address | 104 Station Place Way Hurricane, WV 25526-8747 United States Phone: (304) 757-7788 | Fax: (304) 201-1140 📍 View Map |
| Primary Practice Address | 104 Station Place Way Hurricane, WV 25526-8747 United States Phone: (304) 757-7788 | Fax: (304) 201-1140 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WV | 5630468000 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | WV | WV19679 |
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About NPI 1053370056
Sean Charles Dicristofaro M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053370056. The primary specialty listed is Specialist. The provider is located in Hurricane, WV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-03-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053370056?
NPI 1053370056 belongs to Sean Charles Dicristofaro M.D., a Specialist in Hurricane, WV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053370056 active?
The current status of NPI 1053370056 in the NPPES registry is Active. The record was last updated on 2007-11-12.
What specialty is NPI 1053370056?
NPI 1053370056 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053370056?
You can verify NPI 1053370056 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053370056?
The primary practice address on file for NPI 1053370056 is 104 Station Place Way, Hurricane, WV 25526-8747. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053370056 issued?
NPI 1053370056 was first issued (enumerated) on 2006-03-20. The NPPES record was last updated on 2007-11-12.
Practice Location Map
Sean Charles Dicristofaro is located at 104 Station Place Way, Hurricane, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sean Charles Dicristofaro. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053370056. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | WV19679 | WV |