TYGART VALLEY MEDICAL SPECIALTIES, INC


Address: 911 Gorman Ave Ste 201, Elkins, WV 26241-3154
Phone: 3046376302

TYGART VALLEY MEDICAL SPECIALTIES, INC (NPI# 1235596677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235596677
Entity Type Organization
Organization Name TYGART VALLEY MEDICAL SPECIALTIES, INC
Other Organization Name MEDCORP-TYGART VALLEY MEDICAL SPECIALTIES
Practice Address 911 Gorman Ave Ste 201
Elkins
WV 26241-3154
Mailing Address 911 Gorman Avenue
Suite 201
Elkins
WV 26241
Practice Telephone 3046376302
Practice Fax Number 3046376307
Mailing Telephone 3046376302
Mailing Fax Number 3046376307
Enumeration Date 2016-01-15
Last Update Date 2016-03-16
Authorized Official Name MR. STEPHEN CROSS (CEO)
Authorized Official Telephone 3046376302
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
21597 WV Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MedCorp-Tygart Valley Medical Specialties Former Legal Business Name - Organization

Office Location

Street Address 911 GORMAN AVE STE 201
City ELKINS
State WV
Zip Code 26241-3154

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336604941 Sara Brock Nurse Practitioner 911 Gorman Ave Ste 201, Elkins, WV 26241-3154 2019-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912507625 Cindy Phillips Technician 2068 Files Creek Road, Elkins, WV 26241 2020-10-30
1316544224 Brittany Underwood Technician 27 Midway Loop Rd., Elkins, WV 26241 2020-10-04
1740895820 Brandie Elaine Lambert Technician 1 Fifth Street, Elkins, WV 26241 2020-09-15
1174134118 Sherri Lynn Stahl Technician 36 Midland Street, Elkins, WV 26241 2020-08-13
1447861489 Gwyn Esther Reynolds Technician 2685 Wesley Chapel Rd, Dunmore, WV 26241 2020-08-13
1578173092 Stephen Foy Technician 216 Davis Street, Elkins, WV 26241 2020-08-10
1497364913 Renee Taylor Technician Lot 12 Valley View Mhp, Elkins, WV 26241 2020-07-30
1811506959 Roxanna E Cooper Case Manager/Care Coordinator #1 Fifth Street, Elkins, WV 26241 2020-07-24
1194379479 Kevin Robert Lambert Optometrist 205 Chenoweth Creek Rd, Elkins, WV 26241 2019-07-25
1003318841 Anna Foster Nurse Practitioner 911 Gorman Ave. #201, Elkins, WV 26241 2018-03-07
Find all providers in zip 26241

Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1417499005 Acupuncture & Holistic Health Clinic/Center 2998 Charleston Rd Ste 5, Ripley, WV 25271-5810 2016-11-14
1346610094 Usimc of West Virginia Medical Corporation Clinic/Center 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 2015-10-06
1417229329 Professional Medical Ultrasonics Inc. Clinic/Center 4089 Webster Rd Suite 5, Summersville, WV 26651 2012-02-08
1255403002 Appalachian Highway Medical & Surgical Clinic, Pllc Clinic/Center Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 2006-11-15
1932293941 Rainelle Medical Center Inc Clinic/Center 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 2006-10-03
1396744108 Grant Memorial Hospital Clinic/Center Hospital Drive, Petersburg, WV 26847 2005-07-14
1245238237 Grant Memorial Hospital Clinic/Center 8 Lee St, Suite 3, Moorefield, WV 26836-1091 2005-07-13
1932103488 University Physicians & Surgeons, Inc. Clinic/Center 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 2005-06-10
1003810557 University Physicians & Surgeons, Inc. Clinic/Center 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 2005-06-10
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Competitor

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City ELKINS
Zip Code 26241

Improve Information

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Dataset Information

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.

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