Individual
RICHARD ELLISON MCWHORTER
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
13156
WV
2085R0202X
Diagnostic Radiology Physician
31775
KY
2085R0202X
Diagnostic Radiology Physician
35-08-1070-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196558
UNISON
OH
01
—
000500531
MTN STATE BC BS
—
05
—
0117579000
—
WV
05
—
0507544
—
OH
01
—
300021803
RR MEDICARE (WV)
WV
01
—
4334342
AETNA
—
01
—
50007242
PASSPORT
KY
01
—
550493376 00
WORKMANS COMP
WV
05
—
6469935800
—
KY
01
—
P00766041
RR MEDICARE (KY)
KY
Enumeration date
12/22/2005
Last updated
01/08/2010
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