Individual
DR. JOHN J. ANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1538 KANAWHA BLVD E, CHARLESTON, WV 25311-2435
(304) 344-3457
(304) 344-3480
Mailing address
PO BOX 11137, CHARLESTON, WV 25339-1137
(304) 344-3457
(304) 344-3480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19429
WV
2085R0202X
Diagnostic Radiology Physician
MC-235
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000361719
MT STATE BC BS
WV
05
—
0122683000
—
WV
01
—
0130753
UMWA
WV
01
—
020011800
FEDERAL BLACK LUNG
WV
01
—
14193
CARELINK & CARELINK PEIA
WV
01
—
151237200
US DOL & US POSTAL COMP
WV
05
—
2072742
—
OH
01
—
55-0516458
GROUP FEIN #
WV
01
—
550516458
ACORIDA NATIONAL PEIA
WV
05
—
550516458
—
WV
05
—
64942535
—
KY
01
—
G67373
BRICKSTREET INSURANCE
WV
Enumeration date
06/09/2005
Last updated
06/24/2025
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