SUNCREST TOWN CENTRE-WVU (NPI# 1780906628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780906628 |
| Entity Type | Organization |
| Organization Name | SUNCREST TOWN CENTRE-WVU |
| Practice Address |
600 Town Centre Drive Morgantown WV 26505-1872 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984478 |
| Mailing Telephone | 3042937401 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011526000 | 05 |
| Street Address |
600 TOWN CENTRE DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1376627315 | Warren T Anderson | Internal Medicine | 300 Wedgewood Drive, Morgantown, WV 26505 | 2006-10-25 |
| 1386757037 | Wissam Gharib | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2006-08-16 |
| 1871548826 | Michael A. Englund | Internal Medicine | 2000 Mon Health Medical Park Drive, Suite 2300, Morgantown, WV 26505-0000 | 2006-05-24 |
| 1154681229 | Irfan Zeb | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2012-05-23 |
| 1063729580 | Sameer Raina | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2010-09-03 |
| 1679898290 | Samantha Jane Crites | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505 | 2010-04-07 |
| 1477782142 | Krishna Kishore Bingi | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2009-07-02 |
| 1386870954 | Suppiramaniam Sreeharikesan | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2009-06-09 |
| 1013182377 | Madhavi Kadiyala | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506 | 2008-04-28 |
| 1164696530 | Marco A Caccamo | Internal Medicine | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2008-04-16 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on SUNCREST TOWN CENTRE-WVU.
| 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.