Provider Demographics
NPI:1174591192
Name:GNEGY, DAVID ALAN
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALAN
Last Name:GNEGY
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:ALAN
Other - Last Name:GNEGY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:600 18TH ST
Mailing Address - Street 2:SUITE 512
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3231
Mailing Address - Country:US
Mailing Address - Phone:304-424-4574
Mailing Address - Fax:304-424-4429
Practice Address - Street 1:600 18TH ST
Practice Address - Street 2:SUITE 512
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3231
Practice Address - Country:US
Practice Address - Phone:304-424-4574
Practice Address - Fax:304-424-4429
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18119207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0086275000Medicaid
WVF19292Medicare UPIN
WVGN0784111Medicare ID - Type Unspecified