Provider Demographics
NPI:1700118114
Name:DUMASIUS, VIDAS (MD)
Entity type:Individual
Prefix:
First Name:VIDAS
Middle Name:
Last Name:DUMASIUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GRAZVYDAS
Other - Middle Name:
Other - Last Name:DUMASIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0449
Mailing Address - Country:US
Mailing Address - Phone:740-568-5626
Mailing Address - Fax:740-374-6332
Practice Address - Street 1:400 MATTHEW ST STE B-1
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-1644
Practice Address - Country:US
Practice Address - Phone:740-376-5501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1360612086S0122X
WV262692086S0105X, 2086S0122X
NMMD2018-09422086S0122X
VA01012560282086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand