DR. FRED T. PULIDO JR. M.D.
NPI 1114986031
Plastic Surgery in Charleston, WV
- Individual
- Male
- Plastic Surgery
About FRED PULIDO
This page provides the complete NPI Profile along with additional information for Fred Pulido, a provider established in Charleston, West Virginia with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1114986031 assigned on March 2006. The practitioner's primary taxonomy code is 208200000X with license number 10371 (WV). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1114986031 Verify this NPI
- Provider Name
- DR. FRED T. PULIDO JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1213 VIRGINIA ST E THIRD FLOOR CHARLESTON, WV 25301
- Location Phone
- (304) 345-5466
- Location Fax
- (304) 345-5472
- Mailing Address
- 1213 VIRGINIA ST E THIRD FLOOR CHARLESTON, WV 25301
- Mailing Phone
- (304) 345-5466
- Mailing Fax
- (304) 345-5472
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2006
- Last Update Date
- 07-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10371
- License State
- WV
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0114257000 | MEDICAID (05) | WV | |
| 3572755200 | OTHER (01) | WV | U.S. DEPT. OF LABOR |
| 0359506 | OTHER (01) | WV | CIGNA |
| 225394 | OTHER (01) | WV | MAMSI |
Reviews for DR. FRED T. PULIDO JR. M.D.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114986031, enumerated as an "individual" on March 20, 2006.
The provider is located at 1213 VIRGINIA ST E THIRD FLOOR CHARLESTON, WV 25301 and the phone number is (304) 345-5466.
Plastic Surgery with taxonomy code 208200000X.
The provider might be accepting Accepts: Medicare, Medicaid and Cigna. Please consult your insurance carrier or call the provider to verify.
