ORTHOPEDICS-SUNCREST PLAZA (NPI# 1003244690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003244690 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDICS-SUNCREST PLAZA |
| Other Organization Name | WVU MEDICAL CORPORATION DBA UHA |
| Practice Address |
1075 Van Voorhis Rd Morgantown WV 26505-3586 |
| Mailing Address |
Po Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984830 |
| Practice Fax Number | 3045984537 |
| Mailing Telephone | 3042857100 |
| Mailing Fax Number | 3042857126 |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | ANDREA M RUMBLE (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 3043857101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011526000 | 05 |
| Other Name | Type Code |
|---|---|
| WVU MEDICAL CORPORATION DBA UHA | Doing Business As Name - Organization |
| Street Address |
1075 VAN VOORHIS RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972770931 | Uha, Wvu Urgent Care Lab | Clinical Medical Laboratory | 1075 Van Voorhis Rd, Suite 100 Suncrest Executive Plaza, Morgantown, WV 26505-3586 | 2008-05-09 |
| 1609409580 | Heather Nicole Ross | Registered Nurse | 1075 Van Voorhis Rd, Morgantown, WV 26505-3586 | 2020-02-19 |
| 1558894352 | Brittney Lilley | Nurse Practitioner | 1075 Van Voorhis Rd, Morgantown, WV 26505-3586 | 2017-04-07 |
| 1558801209 | Kylie Bias | Nurse Practitioner | 1075 Van Voorhis Rd, Morgantown, WV 26505-3586 | 2017-02-28 |
| 1801145446 | Beth Ann Beck | Nurse Practitioner | 1075 Van Voorhis Rd, Suite 100, Morgantown, WV 26505-3586 | 2012-08-29 |
| 1144527599 | Tessie R Irby | Physician Assistant | 1075 Van Voorhis Rd, Suite 100, Morgantown, WV 26505-3586 | 2011-02-22 |
| 1225268808 | Pain Management - Uha | Pain Medicine | 1075 Van Voorhis Rd, Suite150, Morgantown, WV 26505-3586 | 2009-07-17 |
| 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 | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891705521 | Brian R Hamlin | Orthopaedic Surgery | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145435 | Curtis Kevin Grant | Orthopaedic Surgery | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2019-07-02 |
| 1316171580 | Matthew Wayne Bullock | Orthopaedic Surgery | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2009-05-04 |
| 1578711552 | Christopher Don Courtney | Orthopaedic Surgery | 527 Medical Park Dr Ste 400, Bridgeport, WV 26330-9010 | 2008-09-03 |
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on ORTHOPEDICS-SUNCREST PLAZA.
| 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.