UNITED HOSPITAL CENTER (NPI# 1780767772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780767772 |
| Entity Type | Organization |
| Organization Name | UNITED HOSPITAL CENTER |
| Practice Address |
710 Genesis Blvd Bridgeport WV 26330-9668 |
| Mailing Address |
527 Medical Park Dr Ste 400 Bridgeport WV 26330-9010 |
| Practice Telephone | 6813423490 |
| Practice Fax Number | 6813423491 |
| Mailing Telephone | 6813423500 |
| Mailing Fax Number | 6813423507 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | MICHAEL TILLMAN (CEO) |
| Authorized Official Telephone | 6813421000 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNITED HOSPITAL CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | WV107 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810008622 | 05 | |
| WV | BLUE CROSS PAY TO NUMBER | 001709473 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235556887 | United Hospital Center | Plastic Surgery | 1 Amalia Dr, Buckhannon, WV 26201-2239 | 2014-03-20 |
| 1306267646 | United Hospital Center | Plastic Surgery | 527 Medical Park Dr Ste 203, Bridgeport, WV 26330-9009 | 2014-01-03 |
| 1366759227 | United Hospital Center | Surgery | 916 W Main St, Bridgeport, WV 26330-1651 | 2010-09-13 |
| 1184940132 | United Hospital Center | Internal Medicine | 527 Medical Park Dr Ste 402, Bridgeport, WV 26330-9010 | 2010-04-15 |
| 1710148697 | United Hospital Center | Registered Nurse | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2008-06-23 |
| 1669501144 | United Hospital Center | Family Medicine | 327 Medical Park Drive, Bridgeport, WV 26330 | 2007-03-02 |
| Street Address |
710 GENESIS BLVD |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1487168795 | Meranda Chipps | Nurse Practitioner | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2017-11-22 |
| 1871969717 | Carol Mclennan | Nurse Practitioner | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2015-08-14 |
| 1811332166 | John Blake Epling | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2013-04-30 |
| 1245585207 | Aaradhana Kaul | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2012-07-16 |
| 1346447943 | Kristen Nicole Moore | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2007-06-28 |
| 1679672505 | Premier Medical Group, Inc. | Clinical Medical Laboratory | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-09-21 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1780002204 | Jennifer M Reams | Internal Medicine | 120 Medical Park Dr Ste 100, Bridgeport, WV 26330-9013 | 2014-04-01 |
| 1982616520 | Joao Ma Nascimento | Internal Medicine | 3203 Main St, Bridgeport, CT 06606-4225 | 2006-08-12 |
| 1689082109 | Gbemisola Mayokun Olayemi | Internal Medicine | 120 Medical Park Dr Ste 100, Bridgeport, WV 26330-9013 | 2014-07-28 |
| 1245585207 | Aaradhana Kaul | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2012-07-16 |
| 1336429141 | King Soon Goh | Internal Medicine | 227 Medical Park Dr, Ste 101, Bridgeport, WV 26330-9038 | 2011-08-24 |
| 1134445653 | Rajwardhan Yadav | Internal Medicine | 227 Medical Park Dr Ste 101, Bridgeport, WV 26330 | 2010-04-08 |
| 1912194077 | Hmm Enterprises, LLC | Internal Medicine | 3203 Main St, Bridgeport, CT 06606-4225 | 2007-10-02 |
| 1659565216 | Christopher Francis Mojcik | Internal Medicine | 3203 Main St, Bridgeport, CT 06606-4225 | 2007-08-28 |
| 1518034016 | Joao M.a. Nascimento, M.d. | Internal Medicine | 3203 Main St, Bridgeport, CT 06606-4225 | 2006-11-29 |
| 1770505646 | Joanna Elizabeth Vincent | Internal Medicine | 2800 Main St, St. Vincent's Medical Center, Outreach Services, Bridgeport, CT 06606-4201 | 2006-07-23 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on UNITED HOSPITAL CENTER.
| 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.