Provider Demographics
NPI:1730205162
Name:ATTILA A. LENKEY, JR. M.D.
Entity type:Organization
Organization Name:ATTILA A. LENKEY, JR. M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ATTILA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LENKEY, JR.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-234-8476
Mailing Address - Street 1:2101 JACOB ST STE 502
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3800
Mailing Address - Country:US
Mailing Address - Phone:304-234-8746
Mailing Address - Fax:304-234-8478
Practice Address - Street 1:2101 JACOB ST STE 502
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3800
Practice Address - Country:US
Practice Address - Phone:304-234-8746
Practice Address - Fax:304-234-8478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065548L207RP1001X
KY27503207RP1001X
WV17475207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0076063000Medicaid
OH9333681Medicare PIN
OH9333684Medicare PIN
WV9333686Medicare PIN
WV0076063000Medicaid
OH9333683Medicare PIN