USIMC OF WEST VIRGINIA MEDICAL CORPORATION (NPI# 1790155497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790155497 |
| Entity Type | Organization |
| Organization Name | USIMC OF WEST VIRGINIA MEDICAL CORPORATION |
| Other Organization Name | MYLAN HEALTH CENTER GREENBAG |
| Practice Address |
5005 Greenbag Rd Morgantown WV 26501-7124 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 3045545012 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | DR. JAMES M THIEL (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mylan Health Center Greenbag | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
| 1609369024 | Usimc of West Virginia Medical Corporation | Clinic/Center | 4600 Houston Rd, Florence, KY 41042-4820 | 2018-06-11 |
| 1104317734 | Usimc of West Virginia Medical Corporation | Clinic/Center | 908 W Broadway Fl 8, Louisville, KY 40203 | 2018-05-18 |
| 1417307877 | Usimc of West Virginia Medical Corporation | Clinic/Center | 200 Mero St, Room 140, Frankfort, KY 40601-1920 | 2016-06-16 |
| 1316397797 | Usimc of West Virginia Medical Corporation | Clinic/Center | 702 Capital Ave, Room 040, Frankfort, KY 40601-3448 | 2016-06-16 |
| 1417307893 | Usimc of West Virginia Medical Corporation | Clinic/Center | 500 Mero Mezzanine, Frankfort, KY 40622-0001 | 2016-06-16 |
| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1144633892 | Usimc of West Virginia Medical Corporation | Clinic/Center | 381 Southwood Court, Bowling Green, KY 42101-7513 | 2014-06-10 |
| 1962834218 | Usimc of West Virginia Medical Corporation | Clinic/Center | 100 Magellan Way, Mail Zone Kwgd, Covington, KY 41015-1987 | 2013-08-08 |
| 1528345675 | Usimc of West Virginia Medical Corporation | Clinic/Center | 25 Atlantic Ave, Erlanger, KY 41018-3151 | 2011-11-03 |
| Street Address |
5005 GREENBAG RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26501-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669584751 | Alicia D. Hanna | Optometrist | 5005 Greenbag Rd, Morgantown, WV 26501-7124 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
| 1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
| 1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
| 1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
| 1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
| 1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
| 1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
| 1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
| 1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
| 1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
| Find all providers in zip 26501 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610094 | Usimc of West Virginia Medical Corporation | Clinic/Center | 3711 Collins Ferry Rd, Morgantown, WV 26505-2356 | 2015-10-06 |
| 1093185373 | Usimc of West Virginia Medical Corporation | Clinic/Center | 781 Chestnut Ridge Rd, Morgantown, WV 26505-2730 | 2015-09-30 |
| 1033254149 | Wvuh Cheat Lake Physicians | Clinic/Center | 1 Medical Center Dr, Morgantown, WV 26507-1127 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513361 | Joshua E Parker | Clinic/Center | 3014 Champion Dr, Barboursville, WV 25504-9343 | 2020-03-16 |
| 1417499005 | Acupuncture & Holistic Health | Clinic/Center | 2998 Charleston Rd Ste 5, Ripley, WV 25271-5810 | 2016-11-14 |
| 1235596677 | Tygart Valley Medical Specialties, Inc | Clinic/Center | 911 Gorman Ave Ste 201, Elkins, WV 26241-3154 | 2016-01-15 |
| 1417229329 | Professional Medical Ultrasonics Inc. | Clinic/Center | 4089 Webster Rd Suite 5, Summersville, WV 26651 | 2012-02-08 |
| 1255403002 | Appalachian Highway Medical & Surgical Clinic, Pllc | Clinic/Center | Appalachian Hwy, Rt. 10 East Pineville, Pineville, WV 24874-1274 | 2006-11-15 |
| 1932293941 | Rainelle Medical Center Inc | Clinic/Center | 1502 Meadow Bridge Road, Meadow Bridge, WV 25976 | 2006-10-03 |
| 1396744108 | Grant Memorial Hospital | Clinic/Center | Hospital Drive, Petersburg, WV 26847 | 2005-07-14 |
| 1245238237 | Grant Memorial Hospital | Clinic/Center | 8 Lee St, Suite 3, Moorefield, WV 26836-1091 | 2005-07-13 |
| 1932103488 | University Physicians & Surgeons, Inc. | Clinic/Center | 2828 1st Ave, Suite 200, Huntington, WV 25702-1236 | 2005-06-10 |
| 1003810557 | University Physicians & Surgeons, Inc. | Clinic/Center | 1616 13th Ave, Suite 2b, Huntington, WV 25701-3840 | 2005-06-10 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26501 |
Please comment or provide details below to improve the information on USIMC OF WEST VIRGINIA MEDICAL CORPORATION.
| 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.