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PICKENS A. GANTT II M.D.
NPI 1063519445
Obstetrics & Gynecology - Reproductive Endocrinology in Charleston, WV

Active since September 20, 2006
830 PENNSYLVANIA AVE, SUITE 205, CHARLESTON, WV 25302(304) 388-2863(304) 388-2866 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pickens A. Gantt Ii M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICKENS A. GANTT II M.D. (NPI 1063519445) is an individual reproductive endocrinology provider in Charleston, West Virginia, licensed in West Virginia (22945) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063519445
Entity TypeIndividualMale
Primary Taxonomy207VE0102X
Provider Legal NamePICKENS A. GANTT IICredential: M.D.
Location Address830 PENNSYLVANIA AVE, SUITE 205Charleston, WV 25302-3302
Mailing Address830 Pennsylvania Ave, Suite 205Charleston, WV 25302 · (304) 388-2863 · Fax (304) 388-2866
Phone(304) 388-2863
Fax(304) 388-2866
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 14, 2015
✔ NPI 1063519445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in WV · 22945
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedSpecialistTaxonomy 174400000X · License 13100 (TN)
830 PENNSYLVANIA AVE, Charleston, WV 25302
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Other Identifiers 2

Medicaid3810010685WV
Medicare PINGN4224353

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN HAROLD BUSH MD
Obstetrics & Gynecology
830 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-1515
DR. JOHN M ECKERD M.D.
Pediatrics (Pediatric Cardiology)
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302
Kanawha County (304) 388-1552
CARRIE MARIE BUSH M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 405
CHARLESTON, WV 25302
Kanawha County (304) 388-2980
MARCUS DODDRIDGE SHAFFER M.D.
Otolaryngology
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
MS. JENNIFER DIVITA D.O.
Pediatrics
830 PENNSYLVANIA AVE, STE 200
CHARLESTON, WV 25302
Kanawha County (304) 388-2709
INTEGRATED HEALTH CARE PROVIDERS, INC.
Clinical Medical Laboratory
830 PENNSYLVANIA AVE, SUITE 302
CHARLESTON, WV 25302
Kanawha County (304) 388-2950
SCOTT A. NAEGELE, MD, PLLC
Obstetrics & Gynecology
830 PENNSYLVANIA AVE, SUITE 108
CHARLESTON, WV 25302
Kanawha County (304) 344-8368
MS. PEGGY SUE FISHER FNP, CRNA
Nurse Practitioner (Family)
830 PENNSYLVANIA AVE, SUITE 301
CHARLESTON, WV 25302
Kanawha County (304) 346-4455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pickens Gantt's NPI number?

The NPI number for Pickens Gantt is 1063519445. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pickens Gantt located?

Pickens Gantt practices at 830 Pennsylvania Ave Suite 205, Charleston, WV 25302. The listed phone number is (304) 388-2863.

What is Pickens Gantt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

When was this NPI record last updated?

The NPPES record for Pickens Gantt was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.