UNITED HOSPITAL CENTER, INC. (NPI# 1386154201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386154201 |
| Entity Type | Organization |
| Organization Name | UNITED HOSPITAL CENTER, INC. |
| Other Organization Name | UHC NEPHROLOGY |
| Practice Address |
527 Medical Park Dr Ste 402 Bridgeport WV 26330-9010 |
| Practice Telephone | 6813423690 |
| Practice Fax Number | 6813423695 |
| Mailing Telephone | 6813423690 |
| Mailing Fax Number | 6813423695 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MICHAEL TILLMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6813421600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UHC Nephrology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195145 | United Hospital Center, Inc. | Home Health | 69 Maze Plaza, Elizabeth, WV 26143 | 2020-02-11 |
| 1043864374 | United Hospital Center, Inc. | Home Health | 130 E Burr Blvd Ste 1, Kearneysville, WV 25430-4788 | 2019-07-25 |
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1326692641 | United Hospital Center, Inc. | Hospice Care, Community Based | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-25 |
| 1992359228 | United Hospital Center, Inc. | Home Health | 100 Hoylman Dr, Gassaway, WV 26624-9318 | 2019-07-25 |
| 1588218820 | United Hospital Center, Inc. | Home Health | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2019-07-25 |
| 1417501719 | United Hospital Center, Inc. | Home Health | 14 Comfort Dr, Reedsville, WV 26547 | 2019-07-25 |
| 1760965586 | United Hospital Center, Inc. | Internal Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2018-09-07 |
| Street Address |
527 MEDICAL PARK DR STE 402 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374751 | Nabeel Ghabra | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2006-04-11 |
| 1245674753 | Tariq Abdelrahim Faris Hammad | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330 | 2013-04-26 |
| 1184940132 | United Hospital Center | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2010-04-15 |
| 1114199411 | Kimberly J Fairley | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2008-03-26 |
| 1003937244 | Tomas Rodriguez Molinet | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2007-04-03 |
| 1821177122 | Lorrie Dilucente | Nurse Practitioner | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2006-11-06 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053374751 | Nabeel Ghabra | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2006-04-11 |
| 1619946936 | James J Demarco | Internal Medicine | 1370 Johnson Ave, Ste 203, Bridgeport, WV 26330-1378 | 2006-03-17 |
| 1396744041 | William Allen Hunt | Internal Medicine | 900 Madison Ave Ste 209, Bridgeport, CT 06606-5534 | 2005-07-15 |
| 1215936083 | Paul Barry Nussbaum | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1326337940 | David M Bennett | Internal Medicine | 900 Madison Ave Ste 209, Bridgeport, CT 06606 | 2011-04-04 |
| 1629223045 | Abdallahsassine Geara | Internal Medicine | 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 | 2008-11-26 |
| 1306928734 | Marilyn K Aday | Internal Medicine | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-10-19 |
| 1396737870 | Robert Chai Kim | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-08-19 |
| 1609875491 | James Patrick Gavin | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| 1902805773 | Irwin David Feintzeig | Internal Medicine | 900 Madison Ave, Suite 209, Bridgeport, CT 06606-5534 | 2005-07-14 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.