Romeo R Ednacot

MD | Pediatric Adolescent Medicine | Male

Romeo R Ednacot, MD is a Ronceverte, West Virginia based Pediatric doctor with medical specialization in Pediatric Adolescent Medicine. Current practice location of Romeo R Ednacot is 207 Maplewood Ave, Ronceverte, West Virginia - 24970-1335. He can be contacted on phone at 304-645-7007 and fax number 304-645-7008. Romeo R Ednacot is a sole proprietor of his business.
NPI number (Unique professional ID) for Romeo R Ednacot is 1003810631 which was assigned by NPPES on 10 Jun, 2005 and it was last updated on 09 Jul, 2007. Romeo R Ednacot license number is 10073 for Pediatrics Adolescent Medicine (2080A0000X) in West Virginia.
Romeo R Ednacot specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Romeo R Ednacot basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Adolescent Medicine
Provider Name :Romeo R Ednacot
Credential :MD
Gender :Male
Business Address:
Romeo R Ednacot address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :207 Maplewood Ave
Ronceverte, WV, 24970-1335
United States
Phone Number :304-645-7007
Fax Number :304-645-7008
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1003810631
NPI Entity Type : Individual
First Enrolment Date : 10 Jun, 2005
Last Updated On : 09 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Romeo R Ednacot are as mentioned. Primary taxonomy code for Romeo R Ednacot, MD is 2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080A0000XPediatrics Adolescent MedicineYes10073WV
Legacy Identifiers:
Other legacy medical identifiers of Romeo R Ednacot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
0112064000MEDICAIDWV
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 3705
Charleston, WV, 25337-3705
United States
Phone Number :304-536-5030
Fax Number :304-536-5031
Business Location:
Patients can refer following map for directions to Romeo R Ednacot practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.