GERALD WEDEMEYER (NPI# 1174571038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174571038 |
| Entity Type | Individual |
| Full Name | GERALD WEDEMEYER |
| Credential | M.D. |
| Practice Address |
327 Medical Park Drive Bridgeport WV 26330 |
| Practice Telephone | 6813421525 |
| Practice Fax Number | 6813423125 |
| Mailing Telephone | 6813421525 |
| Mailing Fax Number | 6813423125 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
WV16760 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | MEDICAID | 10232000 | 01 |
| Street Address |
327 MEDICAL PARK DRIVE |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184606600 | United Hospital Center, Inc | General Acute Care Hospital | 327 Medical Park Drive, Bridgeport, WV 26330 | 2005-11-18 |
| 1174710925 | Kristopher Richard Jangrow | Nurse Anesthetist, Certified Registered | 327 Medical Park Drive, Bridgeport, WV 26330 | 2007-09-26 |
| 1649395021 | Oncology Hematology Associates Lab | Clinical Medical Laboratory | 327 Medical Park Drive, Bridgeport, WV 26330-9006 | 2007-03-21 |
| 1669501144 | United Hospital Center | Family Medicine | 327 Medical Park Drive, Bridgeport, WV 26330 | 2007-03-02 |
| 1598866394 | Oncology Hematology Associates | Internal Medicine | 327 Medical Park Drive, Bridgeport, WV 26330-9006 | 2006-09-26 |
| 1376590786 | United Hospital Center, Inc. | Anesthesiology | 327 Medical Park Drive, Bridgeport, WV 26330 | 2006-05-30 |
| 1356399216 | Chinmay K Datta | Pathology | 327 Medical Park Drive, Bridgeport, WV 26330 | 2006-05-04 |
| 1932186673 | Seetha Ginjupalli | Internal Medicine | 327 Medical Park Drive, Bridgeport, WV 26330 | 2005-12-23 |
| 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 | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356399216 | Chinmay K Datta | Pathology | 327 Medical Park Drive, Bridgeport, WV 26330 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750693883 | Richard Michael Iammarino | Pathology | 348 Rotary St, Morgantown, WV 26505-3235 | 2010-07-06 |
| 1083717110 | Edward Adamovich | Pathology | Wheeling Hospital Inc, 1 Medical Park, Wheeling, WV 26003 | 2006-09-06 |
| 1134128358 | Fausto Imbing | Pathology | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2005-07-19 |
| 1609011741 | Uha-pathology | Pathology | 1 Med Center Drive, West Virginia University Hosp-clinical Lab, Morgantown, WV 26506 | 2008-12-03 |
| 1275700866 | Huntington Pathology, Pllc | Pathology | 6007 Us Route 60 E, Suite 122, Barboursville, WV 25504-1042 | 2008-05-13 |
| 1972629780 | Uha Clinical Pathology | Pathology | 1 Medical Center Dr., Morgantown, WV 26506 | 2007-03-22 |
| 1326141458 | Busaina L Khalil | Pathology | Wheeling Hospital Inc, 1 Medical Park, Wheeling, WV 26003 | 2006-09-06 |
| 1053414185 | Scott L Nestor | Pathology | 1 Medical Park, Wheeling Hospital Inc, Wheeling, WV 26003-6379 | 2006-09-06 |
| 1780787812 | Michael M Yousef | Pathology | 1 Medical Park, Wheeling, WV 26003-6379 | 2006-09-06 |
| 1285624791 | Mark G Inman | Pathology | 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 | 2005-10-26 |
| 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.