Provider Demographics
NPI:1043347222
Name:AKIN, JAY DALE (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:DALE
Last Name:AKIN
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 1:2520 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-2092
Mailing Address - Country:US
Mailing Address - Phone:304-675-4340
Mailing Address - Fax:830-532-0165
Practice Address - Street 1:121 OAK HILL DR
Practice Address - Street 2:
Practice Address - City:LEAKEY
Practice Address - State:TX
Practice Address - Zip Code:78873-3164
Practice Address - Country:US
Practice Address - Phone:830-232-5273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3226207Q00000X
TXM9783207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081RROtherBCBS TX
TX314971ZP2ZOtherMEDICARE
TX198858604Medicaid
TX8HJ991OtherBCBS
TX198858601Medicaid