WVU MED CORP (MDGRP) (NPI# 1467667030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467667030 |
| Entity Type | Organization |
| Organization Name | WVU MED CORP (MDGRP) |
| Practice Address |
255 Scott Ave Morgantown WV 26508-8803 |
| Mailing Address |
P O Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3042935033 |
| Practice Fax Number | 3042936963 |
| Mailing Telephone | 3042935033 |
| Mailing Fax Number | 3092936963 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY D MILLER (PROVIDER RELATIONS ANALYST) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0011526000 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
255 SCOTT AVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942728878 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 405 Holly Ln, Morgantown, WV 26508-4890 | 2017-08-30 |
| 1124553722 | Arielle Elizabeth Placke | Family Medicine | 6000 Memorial Church Dr Ste A, Morgantown, WV 26501-1503 | 2017-04-21 |
| 1598296642 | Alyson Margaret Leo | Family Medicine | 1 Medical Center Dr Rm 204, Morgantown, WV 26506-1200 | 2017-03-21 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1811300247 | Elizabeth Joya | Family Medicine | 215 Don Knotts Blvd Ste 130, Morgantown, WV 26501-6734 | 2014-06-03 |
| 1134423866 | Joleen Liburd | Family Medicine | 1751 Earl L Core Rd, Morgantown, WV 26505-5891 | 2011-01-10 |
| 1336392919 | Douglas Andrew Darbro | Family Medicine | 5693 S Bear Wallow Rd, Suite 100, Morgantown, IN 46160-9315 | 2008-10-28 |
| 1528273752 | Uha Family Medicine (paasgrp) | Family Medicine | 4th Floor Ruby Mem, Morgantown, WV 26506 | 2007-05-11 |
| 1275670499 | Ronald Vandegriff | Family Medicine | 23 Pennwood Dr, Morgantown, PA 19543-8821 | 2007-01-30 |
| 1023116654 | Richard T.c. Wan | Family Medicine | 101 W Roberts St, Morgantown, KY 42261-7942 | 2006-09-20 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on WVU MED CORP (MDGRP).
| 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.