CLARKSBURG ENT - UHA (NPI# 1326277187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326277187 |
| Entity Type | Organization |
| Organization Name | CLARKSBURG ENT - UHA |
| Practice Address |
700 Genesis Blvd Bridgeport WV 26330-9668 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3045984825 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011526000 | 05 |
| Street Address |
700 GENESIS BLVD |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366483083 | Salam H Rajjoub | Internal Medicine | 700 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-06-10 |
| 1528000221 | American Lung Care Inc. | Internal Medicine | 700 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427376334 | Anthony J. Vallone, Md, PC | Otolaryngology | 4718 Main St, Bridgeport, CT 06606-1823 | 2010-05-17 |
| 1306031828 | Stephen D. Breda Md Facs PC | Otolaryngology | 4695 Main St 1, Suite 1, Bridgeport, CT 06606-1331 | 2007-09-07 |
| 1033140876 | Edward Michael Lane | Otolaryngology | 4675 Main Street, Bridgeport, CT 06606 | 2006-07-06 |
| 1275592834 | Dianne Duffey | Otolaryngology | 1635 Central Ave, Bridgeport, CT 06610-2717 | 2006-03-22 |
| 1578733655 | United Hospital Center, Inc | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2008-03-05 |
| 1700063013 | Edward M Lane Md PC | Otolaryngology | 4675 Main St, Bridgeport, CT 06606-1813 | 2008-01-29 |
| 1760676696 | Sara Richer | Otolaryngology | 2800 Main St, Department of Surgery, Bridgeport, CT 06606-4201 | 2007-09-04 |
| 1447457825 | Kevin S Oxley | Otolaryngology | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-06-29 |
| 1265519680 | Daniel James Merenda | Otolaryngology | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330-9010 | 2006-11-01 |
| 1497847651 | James Lee Bryant II | Otolaryngology | 527 Medical Park Drive, Suite 501, Bridgeport, WV 26330 | 2006-09-28 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on CLARKSBURG ENT - UHA.
| 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.