Individual
DR. ELIZABETH H HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DR, SUITE 500, BRIDGEPORT, WV 26330-9007
(681) 342-3600
(681) 342-3625
Mailing address
527 MEDICAL PARK DR, SUITE 500, BRIDGEPORT, WV 26330-9007
(681) 342-3600
(681) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19624
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718909
BLUECROSSBLUESHIELD #
WV
01
—
080162278
RAILROAD MEDICARE #
WV
01
—
206732
CARELINK/COVENTRY #
WV
01
—
2116240
ALLIANCE PROVIDER #
WV
05
—
5630449000
—
WV
01
—
8116240
MAMSI
WV
01
—
WV19624
HEALTH PLAN #
WV
Enumeration date
11/22/2005
Last updated
04/06/2022
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