Joseph Fazalare (NPI# 1336307941, PAC ID# 9335272368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1336307941 |
PAC ID by PECOS | 9335272368 |
Professional Enrollment ID | I20100728000493 |
Full Name | Joseph Fazalare |
Organization Legal Name | UNITED HOSPITAL CENTER INC |
Address |
227 Medical Park Dr Suite 101 Bridgeport WV 26330-8420 |
Phone Number | 6813423550 |
Gender | M |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 8123936010 |
Number of Group Practice Members | 138 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510006 | UNITED HOSPITAL CENTER |
Address | Phone | Organization |
---|---|---|
227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 | 6813423550 | UNITED HOSPITAL CENTER INC |
Organization Legal Name | UNITED HOSPITAL CENTER INC |
Physicians | 120 |
Name | Specialty | Organization | Address |
---|---|---|---|
Viacheslav Iremashvili | Urology | United Hospital Center Inc | 135 Professional Pl, Bridgeport, WV 26330-4509 |
Emerson T Que | Ophthalmology | United Hospital Center Inc | 211 S Chestnut St, Clarksburg, WV 26301-2832 |
Heather J Earl | Physician Assistant | United Hospital Center Inc | 916 W Main St, Bridgeport, WV 26330-1651 |
Tomas Rodriguez Molinet | Gastroenterology | United Hospital Center Inc | 527 Medical Park Dr, Suite 402, Bridgeport, WV 26330-9010 |
Amber K Cochran | Nurse Practitioner | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Michelle L Hasley | Nurse Practitioner | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Michael Angotti | Internal Medicine | United Hospital Center Inc | 527 Medical Park Dr, Suite 307, Bridgeport, WV 26330-9010 |
Nabeel M Ghabra | Nephrology | United Hospital Center Inc | 527 Medical Park Dr, Suite 402, Bridgeport, WV 26330-9010 |
Joshua Bengtson Sykes | Orthopedic Surgery | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Brandy Marie Straface | Physician Assistant | United Hospital Center Inc | 916 W Main St, Bridgeport, WV 26330-1651 |
Street Address |
227 MEDICAL PARK DR SUITE 101 |
City | BRIDGEPORT |
State | WV |
Zip | 26330-8420 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amber K Cochran | Nurse Practitioner | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Michelle L Hasley | Nurse Practitioner | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Joshua Bengtson Sykes | Orthopedic Surgery | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
William Dahl | Orthopedic Surgery | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Russell Biundo | Physical Medicine and Rehabilitation | United Hospital Center Inc | 227 Medical Park Dr, Suite 103, Bridgeport, WV 26330-8421 |
David Benjamin Cohen | Neurosurgery | West Virginia University Medical Corporation | 227 Medical Park Dr, Suite 103, Bridgeport, WV 26330-9038 |
King Soon Goh | Rheumatology | United Hospital Center Inc | 227 Medical Park Dr, Suite 101, Bridgeport, WV 26330-8420 |
Corinne Layne Stuart | Pain Management | United Hospital Center Inc | 227 Medical Park Dr, Suite 103, Bridgeport, WV 26330-8421 |
Karla Price | Nurse Practitioner | West Virginia University Medical Corporation | 227 Medical Park Dr, Suite 103, Bridgeport, WV 26330-9038 |
Lauren Cook | Nurse Practitioner | West Virginia University Medical Corporation | 227 Medical Park Dr, Suite 103, Bridgeport, WV 26330-9038 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Vigneshwaran Ramanathan | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Sean T. Keesee | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Adam Michael Penfold | Physician Assistant | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Erin Colleen Hawkins | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Keith Iverson Harrop Ii | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Josalyn M Mann | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Marcus A Peters | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Alexandria D Johnson | Nurse Practitioner | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Ruthanne Marie Watkins | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Haeley E Harman | Family Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
Find all physicians in zip 26330 |
City | BRIDGEPORT |
Zip Code | 26330 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | BRIDGEPORT + ORTHOPEDIC SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.