Provider Demographics
NPI:1801889720
Name:FIGUEROA, OSCAR FERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:FERNANDO
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 N 4TH ST STE 501
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-1097
Mailing Address - Country:US
Mailing Address - Phone:276-625-8866
Mailing Address - Fax:276-625-8865
Practice Address - Street 1:590 W RIDGE RD STE F
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-1067
Practice Address - Country:US
Practice Address - Phone:276-625-8866
Practice Address - Fax:276-625-8865
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101235795207RP1001X, 207RP1001X, 207RC0200X, 207RS0012X
WV17601207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA180913OtherANTHEM BLUE CROSS
WV001712425OtherMOUNTAIN STATE BLUE CROSS
MAMSIOther3127619
AETNAOther4661750
WV1061838OtherWORKERS' COMPENSATION
WV3810007341Medicaid
VA010000238Medicaid
010151100OtherFEDERAL BLACK LUNG
VA010000238Medicaid
VAC09809Medicare ID - Type Unspecified
MAMSIOther3127619
WV9333741Medicare ID - Type Unspecified