UNITED HOSPITAL CENTER, INC. (NPI# 1962912808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962912808 |
| Entity Type | Organization |
| Organization Name | UNITED HOSPITAL CENTER, INC. |
| Other Organization Name | UHC INFECTIOUS DISEASE SPECIALISTS |
| Practice Address |
527 Medical Park Dr Ste 302 Bridgeport WV 26330-9009 |
| Practice Telephone | 6813423870 |
| Practice Fax Number | 3048427650 |
| Mailing Telephone | 6813423870 |
| Mailing Fax Number | 3048427650 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MICHAEL TILLMAN (CEO) |
| Authorized Official Telephone | 6813421600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UHC Infectious Disease Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195145 | United Hospital Center, Inc. | Home Health | 69 Maze Plaza, Elizabeth, WV 26143 | 2020-02-11 |
| 1043864374 | United Hospital Center, Inc. | Home Health | 130 E Burr Blvd Ste 1, Kearneysville, WV 25430-4788 | 2019-07-25 |
| 1427549039 | United Hospital Center, Inc. | Internal Medicine | 1370 Johnson Ave Ste 201, Bridgeport, WV 26330-1378 | 2018-05-21 |
| 1043713456 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 106, Bridgeport, WV 26330-9009 | 2018-03-12 |
| 1801245931 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 307, Bridgeport, WV 26330-9010 | 2016-06-09 |
| 1326692641 | United Hospital Center, Inc. | Hospice Care, Community Based | 100 Pin Oak Ln, Keyser, WV 26726-5908 | 2019-07-25 |
| 1992359228 | United Hospital Center, Inc. | Home Health | 100 Hoylman Dr, Gassaway, WV 26624-9318 | 2019-07-25 |
| 1588218820 | United Hospital Center, Inc. | Home Health | 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 2019-07-25 |
| 1417501719 | United Hospital Center, Inc. | Home Health | 14 Comfort Dr, Reedsville, WV 26547 | 2019-07-25 |
| 1760965586 | United Hospital Center, Inc. | Internal Medicine | 327 Medical Park Dr, Bridgeport, WV 26330-9006 | 2018-09-07 |
| Street Address |
527 MEDICAL PARK DR STE 302 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992908537 | Jonathan Edmund Stanley | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2007-06-11 |
| 1710336839 | United Hospital Center, Inc. | Internal Medicine | 527 Medical Park Dr Ste 302, Bridgeport, WV 26330-9009 | 2016-06-09 |
| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1114491792 | Mountainstate Infectious Disease, Pllc | Internal Medicine | 215 W Main St Ste B, Bridgeport, WV 26330-1888 | 2019-01-16 |
| 1174778583 | Badiaa El-imad | Internal Medicine | 527 Medical Park Dr Ste 204, Bridgeport, WV 26330-9009 | 2008-11-26 |
| 1639124159 | Dino James Delaportas | Internal Medicine | 11 Point of Vw, Bridgeport, WV 26330 | 2006-05-23 |
| 1720036700 | Grace P Kim | Internal Medicine | 4699 Main St Ste 201, Bridgeport, CT 06606-1830 | 2006-05-04 |
| 1336374339 | Infectious Disease Specialists of Connecticut, LLC | Internal Medicine | 2660 Main St, Suite 221, Bridgeport, CT 06606-5369 | 2009-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669716833 | Wanetta Susie Matulis | Internal Medicine | 68 Quarry Rdg, Charleston, WV 25304-1051 | 2012-11-12 |
| 1942398235 | Fred T Kerns | Internal Medicine | 3100 Maccorkle Ave Se Ste 604, Charleston, WV 25304-1231 | 2006-10-11 |
| 1528178076 | Modi Medical Corporation | Internal Medicine | 4605 Maccorkle Ave Sw Ste 302, South Charleston, WV 25309-1311 | 2006-08-30 |
| 1407824345 | Dragana Orlovic | Internal Medicine | 500 Poplar St Ste 201, South Charleston, WV 25309-1472 | 2006-03-08 |
| 1609842640 | Seyoum Daffo Bage | Internal Medicine | 800 Grand Central Mall Ste 10, Vienna, WV 26105-4100 | 2006-02-28 |
| 1154393148 | Robert Wesley Farr | Internal Medicine | 3100 Maccorkle Ave Se Ste 902, Charleston, WV 25304-1234 | 2006-02-03 |
| 1427516129 | Parkersburg Infectious Disease Pllc | Internal Medicine | 800 Grand Central Mall Ste 10, Vienna, WV 26105-4100 | 2019-03-12 |
| 1336657493 | City Hospital, Inc. | Internal Medicine | 207 E 5th Ave, Ranson, WV 25438-1613 | 2018-01-11 |
| 1972975241 | Ye Min Oo | Internal Medicine | 3100 Maccorkle Ave Se Ste 902, Charleston, WV 25304-1234 | 2015-10-27 |
| 1780011809 | Mahmoud A Shorman | Internal Medicine | 1249 15th Street, Suite 3000, Huntington, WV 25701-3662 | 2013-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
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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.