INTEGRATED HEALTH CARE PROVIDERS, INC. (NPI# 1700201027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700201027 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH CARE PROVIDERS, INC. |
| Other Organization Name | DAVID LEE CANCER CENTER TEAYS VALLEY |
| Practice Address |
3860 Teays Valley Rd Suite 5 Hurricane WV 25526-9772 |
| Mailing Address |
P O Box 1320 Charleston WV 25177-1320 |
| Practice Telephone | 3043884949 |
| Practice Fax Number | 3047577566 |
| Mailing Telephone | 3043881724 |
| Mailing Fax Number | 3043881721 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | JEFFREY H. GOODE (PRESIDENT) |
| Authorized Official Telephone | 3043887782 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| David Lee Cancer Center Teays Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1477890630 | Integrated Health Care Providers, Inc. | Internal Medicine | 73 E 3rd Ave, Williamson, WV 25661-3530 | 2013-01-08 |
| 1154688141 | Integrated Health Care Providers, Inc. | Internal Medicine | 556 S Main St, Chapmanville, WV 25508-5001 | 2012-04-16 |
| 1730473026 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 1399 Hospital Dr, Hurricane, WV 25526-8709 | 2011-06-03 |
| 1528390366 | Integrated Health Care Providers, Inc. | Internal Medicine | 223 Maplewood Ave, Lewisburg, WV 24901-9459 | 2010-02-04 |
| 1225243785 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 3703 Teays Valley Road, Hurricane, WV 25526-9645 | 2007-05-10 |
| 1699873240 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 830 Pennsylvania Ave Ste 205, Charleston, WV 25302-3389 | 2006-09-20 |
| 1982702528 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 903, Charleston, WV 25304-1276 | 2006-09-20 |
| 1659489383 | Integrated Health Care Providers, Inc. | Emergency Medicine | 130 Goff Mountain Road, Cross Lanes, WV 25313 | 2006-08-25 |
| Street Address |
3860 TEAYS VALLEY RD SUITE 5 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215923495 | John Bowman White IIi | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2005-09-23 |
| 1821471319 | Medtest Laboratories LLC | Clinical Medical Laboratory | 3860 Teays Valley Rd, Suite 2, Hurricane, WV 25526-9772 | 2015-07-02 |
| 1801069042 | Teays Dental Care | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2008-04-09 |
| 1093865305 | Craig Smolder | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2007-01-11 |
| 1053408674 | West Virginia Foot Care Specialists, Pllc | Podiatrist | 3860 Teays Valley Rd, Suite 1, Hurricane, WV 25526-9772 | 2006-10-06 |
| 1346269339 | John M Clark Md & Associates Pllc | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-07-19 |
| 1609815786 | John Mirrell Clark | Internal Medicine | 3860 Teays Valley Rd, Suite 4, Hurricane, WV 25526-9772 | 2006-06-05 |
| 1306826508 | J Michael Muto II | Dentist | 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526-9772 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528267952 | Ulas Darda Bayraktar | Internal Medicine | 3825 Teays Valley Rd Ste 5, Hurricane, WV 25526-9614 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912272931 | Wheeling Hospital, Inc. | Internal Medicine | 1423 Commerce St, Wellsburg, WV 26070-1320 | 2012-03-09 |
| 1558685172 | Sanaz Nicky Soltani | Internal Medicine | 2000 Foundation Way Ste 2600, Martinsburg, WV 25401-9197 | 2010-03-25 |
| 1164689618 | Hemamalini Karpurapu | Internal Medicine | 651 Colliers Way Ste 401, Weirton, WV 26062-5054 | 2008-05-21 |
| 1245310366 | Wojciech Kazimierz Dolata | Internal Medicine | 801 Gorman Ave, Elkins, WV 26241-3147 | 2006-10-16 |
| 1609970136 | Mukund K Shah M D Inc | Internal Medicine | 1903 Ann St, Parkersburg, WV 26101-2504 | 2006-09-13 |
| 1073529616 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 101, Charleston, WV 25304-1215 | 2006-08-01 |
| 1588688899 | Timothy Keefe Bowers Sr. | Internal Medicine | 2008 Professional Court, Martinsburg, WV 25401 | 2006-07-27 |
| 1912976507 | Donald R Fleming Jr. | Internal Medicine | 801 Harrison Ave, Elkins, WV 26241-3607 | 2006-03-16 |
| 1942285093 | Julia Margarita Cruz | Internal Medicine | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2005-12-13 |
| 1407840572 | John J Azar | Internal Medicine | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2005-09-06 |
| Find all providers with the same taxonomy | ||||
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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.