INTEGRATED HEALTH CARE PROVIDERS, INC.


Address: 415 Morris St Ste 309, Charleston, WV 25301-1853
Phone: 3043883290

INTEGRATED HEALTH CARE PROVIDERS, INC. (NPI# 1861400756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861400756
Entity Type Organization
Organization Name INTEGRATED HEALTH CARE PROVIDERS, INC.
Other Organization Name FACIAL SURGERY CENTER I
Practice Address 415 Morris St Ste 309
Charleston
WV 25301-1853
Mailing Address 415 Morris St Ste 304
Charleston
WV 25301-1853
Practice Telephone 3043883290
Practice Fax Number 3043883186
Mailing Telephone 3043887783
Enumeration Date 2006-08-04
Last Update Date 2007-11-15
Authorized Official Name JEFF GOODE (PRESIDENT)
Authorized Official Telephone 3043887783
Authorized Official Credential PT, MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810006522 05

Other Provider/Organization Names

Other Name Type Code
Facial Surgery Center I Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 415 MORRIS ST STE 309
City CHARLESTON
State WV
Zip Code 25301-1853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952748196 Samir Waris Oral & Maxillofacial Surgery 415 Morris St Ste 309, Charleston, WV 25301-1853 2013-05-29
1407176704 John A Morris Dentist 415 Morris St Ste 309, Charleston, WV 25301-1853 2010-06-09
1700080710 Integrated Health Care Providers, Inc. Clinical Medical Laboratory 415 Morris St Ste 309, Charleston, WV 25301-1853 2007-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087680 Kerrie Rena Harris Counselor 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 2020-09-15
1285123471 Burgess Dental Dentist 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 2018-05-03
1104322320 Kara Caldwell Psychologist 333 Laidley St., 4'th Floor East, Charleston, WV 25301 2018-04-05
1740638022 Christina Phalen Pharmacy Technician 701 Lee Street East, Charleston, WV 25301 2016-05-27
1366867079 Brooke Powell Garnes Speech-Language Pathologist 1313 Quarrier Street, Suite A, Charleston, WV 25301 2014-03-04
1952648404 Implanted Pump Management, LLC Home Infusion 311 Laidley St., Suite 202, Charleston, WV 25301 2013-01-03
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1033477278 James Stephen Harman Neurological Surgery 415 Morris St Ste 400, Charleston, WV 25301 2012-04-25
1265674329 Howard and Howard Dental LLC Dentist 1321 Virginia St., Charleston, WV 25301 2009-04-03
1881856144 Steven David Hollosi Emergency Medicine 501 Morris St., Charleston, WV 25301 2008-06-27
Find all providers in zip 25301

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1730602319 Shelbourne & Associates Oral and Facial Surgery Oral & Maxillofacial Surgery 198 Rutledge Ave Ste 4, Charleston, SC 29403-5834 2017-07-25
1699781294 Integrated Health Care Providers, Inc. Oral & Maxillofacial Surgery 830 Pennsylvania Ave Ste 302, Charleston, WV 25302-3390 2006-08-01
1952748196 Samir Waris Oral & Maxillofacial Surgery 415 Morris St Ste 309, Charleston, WV 25301-1853 2013-05-29
1477694230 University Medical Associates Oral & Maxillofacial Surgery 171 Ashley Ave, Charleston, SC 29425-8908 2007-02-12
1790898732 Beverly Attaway Oral & Maxillofacial Surgery 171 Ashley Ave, Charleston, SC 29425-0001 2006-08-16
1225057185 Integrated Health Care Providers, Inc. Oral & Maxillofacial Surgery 415 Morris St, Suite 304, Charleston, WV 25301-1842 2006-07-19
1518983857 Betsy Kay Davis Oral & Maxillofacial Surgery 171 Ashley Ave, Charleston, SC 29425-0001 2006-07-13
1942256839 Michael W Tabor Oral & Maxillofacial Surgery 171 Ashley Ave, Charleston, SC 29425-0001 2006-05-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639338304 D'vano J Forbes Oral & Maxillofacial Surgery 1007 Sushruta Dr, Martinsburg, WV 25401 2008-06-06

Competitor

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City CHARLESTON
Zip Code 25301

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Dataset Information

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.

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