UNITED PHYSICIANS CARE INC (NPI# 1619152436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619152436 |
| Entity Type | Organization |
| Organization Name | UNITED PHYSICIANS CARE INC |
| Other Organization Name | BRIDGEPORT PHYSICIANS CARE |
| Practice Address |
1511 Johnson Ave Ste 104 Bridgeport WV 26330-1016 |
| Mailing Address |
686 S Pike St Ste A Shinnston WV 26431-1043 |
| Practice Telephone | 3048480702 |
| Practice Fax Number | 3048480705 |
| Mailing Telephone | 3046244655 |
| Mailing Fax Number | 3046243918 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | MR. JOHN C FORESTER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3046244655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 51D1071522 | WV | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810010590 | 05 |
| Other Name | Type Code |
|---|---|
| Bridgeport Physicians Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528136033 | United Physicians Care Inc | Clinical Medical Laboratory | 106 Cemetery Rd, Accident, MD 21520-0247 | 2006-12-01 |
| 1710055355 | United Physicians Care Inc | Physician Assistant | 1533 Memorial Dr, Oakland, MD 21550-4338 | 2006-12-01 |
| 1477621985 | United Physicians Care Inc | Nurse Practitioner | 686 South Pike St, Shinnston, WV 26431-1043 | 2006-12-01 |
| 1619176302 | United Physicians Care Inc | Nurse Practitioner | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2007-07-13 |
| 1184849200 | United Physicians Care Inc | Nurse Practitioner | 686 S Pike St, Ste A, Shinnston, WV 26431-1043 | 2007-04-16 |
| 1992873558 | United Physicians Care Inc | Physician Assistant | 21 Medical Center Dr, Pennsboro, WV 26415-1276 | 2006-12-01 |
| 1194893859 | United Physicians Care Inc | Nurse Practitioner | Rr 4 Box 315, Philippi, WV 26416-9591 | 2006-12-01 |
| 1245308766 | United Physicians Care Inc | Clinical Medical Laboratory | 686 S Pike St, Shinnston, WV 26431-1043 | 2006-12-01 |
| 1134297807 | United Physicians Care Inc | Clinical Medical Laboratory | 401 N Pike St, Grafton, WV 26354-1268 | 2006-12-01 |
| 1023186533 | United Physicians Care Inc | Clinical Medical Laboratory | 304 Masonic Ave, Pennsboro, WV 26415-1324 | 2006-12-01 |
| Street Address |
1511 JOHNSON AVE STE 104 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750478269 | Michael Raymond Hess | Family Medicine | 1511 Johnson Ave, Bridgeport, WV 26330-1675 | 2006-10-06 |
| 1013220060 | Lauren J Tomes | Family Medicine | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2010-07-20 |
| 1174794069 | Ruthanne M Watkins | Family Medicine | 1511 Johnson Ave, Bridgeport, WV 26330-1016 | 2008-03-18 |
| 1619176302 | United Physicians Care Inc | Nurse Practitioner | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2007-07-13 |
| 1093929424 | Josalyn Marie Mann | Family Medicine | 1511 Johnson Ave, Ste 104, Bridgeport, WV 26330-1016 | 2007-05-08 |
| 1649307232 | Michael R. Hess, M.d. | Family Medicine | 1511 Johnson Ave, Bridgeport, WV 26330 | 2007-02-28 |
| 1902957681 | S. Casey Fryer Do, Pllc | Family Medicine | 1511 Johnson Ave, Bridgeport, WV 26330 | 2007-01-16 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154747442 | Mountain State Medical Specialties,inc. | Clinical Medical Laboratory | 120 Medical Park Dr Ste 101, Bridgeport, WV 26330-9013 | 2014-03-11 |
| 1457610180 | Apsp-bridgeport, LLC | Clinical Medical Laboratory | 1905 Doctor's Hospital Drive, Doctor's Hospital, Bridgeport, TX 76246 | 2012-05-15 |
| 1154549095 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4750 Main St, Bridgeport, CT 06606-1823 | 2007-04-24 |
| 1760968598 | Monitor My Health, Inc. | Clinical Medical Laboratory | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2018-07-15 |
| 1366836066 | Fst Lab, LLC | Clinical Medical Laboratory | 48 Alpine St, Bridgeport, CT 06610-1727 | 2015-03-20 |
| 1457605404 | West Virginia University Medical Corporation | Clinical Medical Laboratory | 527 Medical Park Dr, Suite 108, Bridgeport, WV 26330-9008 | 2012-10-30 |
| 1851650832 | Oncology Hematology Associates Pllc | Clinical Medical Laboratory | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2012-05-10 |
| 1649395021 | Oncology Hematology Associates Lab | Clinical Medical Laboratory | 327 Medical Park Drive, Bridgeport, WV 26330-9006 | 2007-03-21 |
| 1578692679 | Medbrook Medical Assoc. Inc. | Clinical Medical Laboratory | 1370 Johnson Ave, Bridgeport, WV 26330-1382 | 2007-03-05 |
| 1538256805 | Pediatric Associate | Clinical Medical Laboratory | 11 Chenoweth Dr, Suite A, Bridgeport, WV 26330-1675 | 2006-10-06 |
| 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.