UNITED PHYSICIANS CARE INC (NPI# 1144398819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144398819 |
| Entity Type | Organization |
| Organization Name | UNITED PHYSICIANS CARE INC |
| Other Organization Name | LUMBERPORT FAMILY MEDICINE |
| Practice Address |
317 Main St Lumberport WV 26386-0398 |
| Mailing Address |
686 S Pike St Ste A Shinnston WV 26431-1043 |
| Practice Telephone | 3045844490 |
| Practice Fax Number | 3045844732 |
| Mailing Telephone | 3046244655 |
| Mailing Fax Number | 3046243918 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2010-04-27 |
| 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 |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 4004027000 | 05 |
| Other Name | Type Code |
|---|---|
| Lumberport Family Medicine | 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 |
317 MAIN ST |
| City | LUMBERPORT |
| State | WV |
| Zip Code | 26386-0398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831267343 | United Physician Care Inc | Clinical Medical Laboratory | 317 Main St, Lumberport, WV 26386-0398 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525037 | Tammy Joan Miller | Technician | 62 Davis St, Lumberport, WV 26386 | 2020-10-13 |
| 1225649155 | Marvin Ray Hilliard | Technician | 2492 Lumberport Rd, Lumberport, WV 26386 | 2020-08-13 |
| 1326034141 | Lumberport Pharmacy, Inc | Pharmacy | 308 Main Street, Lumberport, WV 26386 | 2005-09-27 |
| 1275149890 | Brenda Mcdaniel | Technician | 102 2nd St, Lumberport, WV 26386 | 2020-09-18 |
| 1649610445 | Community Care of West Virginia, Inc. | Clinic/Center | Chestnut & Lyndon Streets, Lumberport, WV 26386-0000 | 2013-06-26 |
| 1861831323 | Community Care of West Virginia, Inc. | Clinic/Center | 314 Main St, Lumberport, WV 26386-8000 | 2013-06-18 |
| 1265734073 | Susan P Meredith | Pharmacist | 308 Main St, Lumberport, WV 26386-8000 | 2010-11-30 |
| 1477855302 | Carol Mckisic | Pharmacist | 308 Main St, Lumberport, WV 26386-8000 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525037 | Tammy Joan Miller | Technician | 62 Davis St, Lumberport, WV 26386 | 2020-10-13 |
| 1225649155 | Marvin Ray Hilliard | Technician | 2492 Lumberport Rd, Lumberport, WV 26386 | 2020-08-13 |
| 1649610445 | Community Care of West Virginia, Inc. | Clinic/Center | Chestnut & Lyndon Streets, Lumberport, WV 26386-0000 | 2013-06-26 |
| 1326034141 | Lumberport Pharmacy, Inc | Pharmacy | 308 Main Street, Lumberport, WV 26386 | 2005-09-27 |
| 1275149890 | Brenda Mcdaniel | Technician | 102 2nd St, Lumberport, WV 26386 | 2020-09-18 |
| 1861831323 | Community Care of West Virginia, Inc. | Clinic/Center | 314 Main St, Lumberport, WV 26386-8000 | 2013-06-18 |
| 1265734073 | Susan P Meredith | Pharmacist | 308 Main St, Lumberport, WV 26386-8000 | 2010-11-30 |
| 1477855302 | Carol Mckisic | Pharmacist | 308 Main St, Lumberport, WV 26386-8000 | 2010-11-29 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| Find all providers with the same taxonomy | ||||
| City | LUMBERPORT |
| Zip Code | 26386 |
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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.