DR. JOHN N UDALL M.D.
NPI 1346341211
Pediatrics - Pediatric Gastroenterology in Charleston, WV

Active since September 25, 2006
830 PENNSYLVANIA AVE, SUITE 103, CHARLESTON, WV 25302(304) 388-1552(304) 388-1577 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. John N Udall M.d. NPPES

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

DR. JOHN N UDALL M.D. (NPI 1346341211) is an individual pediatric gastroenterology provider in Charleston, West Virginia, licensed in West Virginia (21878) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1346341211
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. JOHN N UDALLCredential: M.D.
Location Address830 PENNSYLVANIA AVE, SUITE 103Charleston, WV 25302
Mailing AddressPo Box 7000Morgantown, WV 26507-7000 · (304) 347-1290 · Fax (304) 347-1397
Fax(304) 388-1577
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1346341211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in WV · 21878
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
830 PENNSYLVANIA AVE, SUITE 103, Charleston, WV 25302

Other Identifiers 3

Medicaid3810001803WV
Medicare ID-Type UnspecifiedUD4153881WV
Medicare UPINC46381

Other Providers at the Same Location NPPES

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

Pediatrics (Pediatric Critical Care Medicine)
830 PENNSYLVANIA AVE, SUITE 103
CHARLESTON, WV 25302

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 John Udall's NPI number?

The NPI number for John Udall is 1346341211. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is John Udall located?

John Udall practices at 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302. The listed phone number is (304) 388-1552.

What is John Udall's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for John Udall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.