Provider Demographics
NPI:1386734051
Name:NESTOR F DANS MD PLLC
Entity type:Organization
Organization Name:NESTOR F DANS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:F
Authorized Official - Last Name:DANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-352-2112
Mailing Address - Street 1:PO BOX 4586
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25364-4586
Mailing Address - Country:US
Mailing Address - Phone:304-352-2112
Mailing Address - Fax:304-352-2113
Practice Address - Street 1:2345 CHESTERFIELD AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304-1062
Practice Address - Country:US
Practice Address - Phone:304-352-2112
Practice Address - Fax:304-352-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV20189208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV=========OtherFEIN
WVNE9325801Medicare PIN