UNIVERSITY HEALTHCARE PHYSICIANS, INC. (NPI# 1366796013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366796013 |
Entity Type | Organization |
Organization Name | UNIVERSITY HEALTHCARE PHYSICIANS, INC. |
Other Organization Name | HARPERS FERRY FAMILY MEDICINE |
Practice Address |
171 Taylor St Harpers Ferry WV 25425-3641 |
Mailing Address |
2500 Foundation Way Martinsburg WV 25401-9000 |
Practice Telephone | 3045356343 |
Mailing Telephone | 3042649202 |
Mailing Fax Number | 3042649042 |
Enumeration Date | 2012-11-02 |
Last Update Date | 2014-07-28 |
Authorized Official Name | DR. KONRAD C. NAU (CEO) |
Authorized Official Telephone | 3042649202 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 183500000X | Pharmacist | Pharmacy Service Providers | ||
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WV | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Harpers Ferry Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
1437581733 | University Healthcare Physicians, Inc. | Family Medicine | 5047 Gerrardstown Rd, Ste A, Inwood, WV 25428-3951 | 2013-08-08 |
1962806059 | University Healthcare Physicians, Inc. | Psychologist | 2004 Professional Ct, Martinsburg, WV 25401-8808 | 2014-10-17 |
1427493881 | University Healthcare Physicians, Inc. | Audiologist | 2000 Foundation Way, Ste 3200, Martinsburg, WV 25401-9003 | 2013-04-30 |
1982048922 | University Healthcare Physicians, Inc. | Pathology | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2013-04-22 |
1801140579 | University Healthcare Physicians, Inc. | Family Medicine | 912 Somerset Blvd, Ste 102, Charles Town, WV 25414 | 2012-11-02 |
1659625739 | University Healthcare Physicians, Inc. | Obstetrics & Gynecology | 2500 Foundation Way, Martinsburg, WV 25401-9000 | 2012-10-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UNIVERSITY HEALTHCARE PHYSICIANS, INC. | 2500 Foundation Way, Martinsburg, WV 25401-9000 |
Street Address |
171 TAYLOR ST |
City | HARPERS FERRY |
State | WV |
Zip Code | 25425-3641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609843960 | John Warner Aldis | Family Medicine | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2006-03-07 |
1992333660 | Adam Polinik | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2020-03-30 |
1336777150 | Afra Khan | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2020-03-28 |
1386272326 | Breona C Barr | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2020-03-27 |
1356978456 | Mahmethan M Shadid | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2020-03-26 |
1063051290 | Alec David James | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2020-01-06 |
1336799626 | Barbara Ann Gerwatosky | Registered Nurse | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2019-09-18 |
1225683741 | Matthew Capozzola | Social Worker | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2019-08-02 |
1912460445 | Alexander Youngjoon Shin | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2019-04-11 |
1881156701 | Leila Mae Appel | Student in an Organized Health Care Education/Training Program | 171 Taylor St, Harpers Ferry, WV 25425-3641 | 2019-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083196406 | Megan Sullivan | Physical Therapy Assistant | 3892 Bakerton Rd., Harpers Ferry, WV 25425 | 2018-09-01 |
1790130508 | Jefferson Day Report Center, Inc. | Psychologist | 121 W. Third Avenue, Ranson, WV 25425 | 2016-04-29 |
1457522203 | Deborah Mueller Mcgee | Counselor | 821 E Ridge Street, Harpers Ferry, WV 25425 | 2008-03-20 |
1710168174 | Ashley Dawn Carroll | Speech-Language Pathologist | 652 Shipley School Rd, Cw Shipley Elem, Harpers Ferry, WV 25425 | 2007-11-14 |
1629261409 | Laureen Rita Lipscomb | Dental Hygienist | 1200 Washuington St, Harpers Ferry, WV 25425 | 2007-08-24 |
1346367745 | Angela D Cherry | Family Medicine | 171 Taylor Street, Harpers Ferry, WV 25425 | 2007-03-23 |
1629122866 | Dr Emily J Mayhew and Dr Edward Smith, Inc | Dentist | 1238 West Washington Street, Harpers Ferry, WV 25425 | 2007-01-23 |
1780745968 | John R Mayhew | Dentist | 1200 W. Washington St, Harpers Ferry, WV 25425 | 2006-12-12 |
1104834431 | Jane Downey | Physical Therapist | 43 Panama Street, Harpers Ferry, WV 25425 | 2006-08-03 |
1093741837 | Bolivar-harpers Ferry Physical Therapy | Clinic/Center | 43 Panama St, Harpers Ferry, WV 25425 | 2006-06-23 |
Find all providers in zip 25425 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Find all providers with the same taxonomy |
City | HARPERS FERRY |
Zip Code | 25425 |
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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.