Individual
RICKY JACK COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5221 US ROUTE 60 E, RADIOLOGY INC, HUNTINGTON, WV 25705-2022
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, RADIOLOGY INC, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-1073
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19768
WV
2085R0202X
Diagnostic Radiology Physician
35-081148-C
OH
2085R0202X
Diagnostic Radiology Physician
36162
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196595
UNISON
OH
01
—
001718781
MTN STATE BCBS
—
05
—
2140123
—
OH
01
—
300114636
RR MEDICARE (WV)
WV
01
—
50007265
PASSPORT
KY
01
—
55049337600
WORKMANS COMP
WV
05
—
6402538000
—
KY
01
—
7027126
AETNA
—
05
—
7200297000
—
WV
01
—
P00766033
RR MEDICARE (KY)
KY
Enumeration date
12/27/2005
Last updated
01/08/2010
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