UNITED PHYSICIANS CARE INC (NPI# 1023186533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023186533 |
| Entity Type | Organization |
| Organization Name | UNITED PHYSICIANS CARE INC |
| Other Organization Name | PENNSBORO MEDICAL CENTER |
| Practice Address |
304 Masonic Ave Pennsboro WV 26415-1324 |
| Mailing Address |
686 S Pike St Ste A Shinnston WV 26431-1043 |
| Practice Telephone | 3046592986 |
| Practice Fax Number | 3046592988 |
| Mailing Telephone | 3046244655 |
| Mailing Fax Number | 3046243918 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | MR. JOHN C FORESTER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3046244655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 51D0710961 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6705061000 | 05 |
| Other Name | Type Code |
|---|---|
| Pennsboro Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136033 | United Physicians Care Inc | Clinical Medical Laboratory | 106 Cemetery Rd, Accident, MD 21520-0247 | 2006-12-01 |
| 1710055355 | United Physicians Care Inc | Physician Assistant | 1533 Memorial Dr, Oakland, MD 21550-4338 | 2006-12-01 |
| 1477621985 | United Physicians Care Inc | Nurse Practitioner | 686 South Pike St, Shinnston, WV 26431-1043 | 2006-12-01 |
| 1619152436 | United Physicians Care Inc | Clinical Medical Laboratory | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2007-12-31 |
| 1619176302 | United Physicians Care Inc | Nurse Practitioner | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2007-07-13 |
| 1184849200 | United Physicians Care Inc | Nurse Practitioner | 686 S Pike St, Ste A, Shinnston, WV 26431-1043 | 2007-04-16 |
| 1992873558 | United Physicians Care Inc | Physician Assistant | 21 Medical Center Dr, Pennsboro, WV 26415-1276 | 2006-12-01 |
| 1194893859 | United Physicians Care Inc | Nurse Practitioner | Rr 4 Box 315, Philippi, WV 26416-9591 | 2006-12-01 |
| 1245308766 | United Physicians Care Inc | Clinical Medical Laboratory | 686 S Pike St, Shinnston, WV 26431-1043 | 2006-12-01 |
| 1134297807 | United Physicians Care Inc | Clinical Medical Laboratory | 401 N Pike St, Grafton, WV 26354-1268 | 2006-12-01 |
| Street Address |
304 MASONIC AVE |
| City | PENNSBORO |
| State | WV |
| Zip Code | 26415-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093808305 | Mark Alan Spiker | Dentist | 304 Masonic Ave, Pennsboro, WV 26415 | 2006-10-02 |
| 1326253154 | Dr. Mark A. Spiker, Dds, Pllc | Dentist | 304 Masonic Ave, Pennsboro, WV 26415-1324 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376567859 | In Home Care LLC | Durable Medical Equipment & Medical Supplies | 108 Pullman Dr, Pennsboro, WV 26415 | 2006-07-27 |
| 1356850655 | Ritchie County Primary Care Assoc Inc | Clinic/Center | 512 Collins Ave, Pennsboro, WV 26415-1011 | 2017-09-29 |
| 1285247296 | Stephanie Wright | Case Manager/Care Coordinator | 304 Walnut St, Pennsboro, WV 26415-1040 | 2020-08-28 |
| 1275639080 | James Edward Levos | Family Medicine | 21 Medical Center Dr, Pennsboro, WV 26415-1276 | 2006-09-16 |
| 1992873558 | United Physicians Care Inc | Physician Assistant | 21 Medical Center Dr, Pennsboro, WV 26415-1276 | 2006-12-01 |
| 1154921351 | Kylee Wilson | Technician | 64 Oak St, Pennsboro, WV 26415-1284 | 2020-10-27 |
| 1700023835 | Home Sweet Home In Home Medical LLC | Durable Medical Equipment & Medical Supplies | 206 Kimball Ave, Pennsboro, WV 26415-1315 | 2009-01-12 |
| 1174631576 | Pennsboro Family Pharmacy A Limited Liability Company | Pharmacist | 401 - A West Myles Avenue, Pennsboro, WV 26415-1330 | 2006-08-26 |
| 1881206431 | Shannon Marie Nelson | Technician | 19 Double H Farm Rd, Pennsboro, WV 26415-6234 | 2020-08-17 |
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1538608757 | Vitas Laboratory LLC | Clinical Medical Laboratory | 5487 Country Club Rd, Grafton, WV 26354-8762 | 2017-02-21 |
| 1376081612 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1337 Virginia St E, Charleston, WV 25301-3011 | 2017-02-07 |
| 1629520853 | Mountaineer Laboratories LLC | Clinical Medical Laboratory | 1410 Jefferson Blvd # B, Point Pleasant, WV 25550-1344 | 2016-11-04 |
| 1831647403 | West Virginia Drug Testing Laboratories | Clinical Medical Laboratory | 108 S Walker St, Princeton, WV 24740-2745 | 2016-09-13 |
| 1811443302 | Reality Check Drug Testing | Clinical Medical Laboratory | 550 N Eisenhower Dr, Beckley, WV 25801-3109 | 2016-08-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.