SIMON MCCLURE (NPI# 1386677813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386677813 |
| Entity Type | Individual |
| Full Name | SIMON MCCLURE |
| Credential | MD |
| Practice Address |
1160 Johnson Ave Suite 105 Bridgeport WV 26330 |
| Practice Telephone | 3048429084 |
| Practice Fax Number | 3048429085 |
| Mailing Telephone | 3048429084 |
| Mailing Fax Number | 3048429085 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17045 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0115260000 | 05 |
| Street Address |
1160 JOHNSON AVE SUITE 105 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609213313 | Adam Grubler | Dentist | 1160 Johnson Ave, 104, Bridgeport, WV 26330-1487 | 2013-06-04 |
| 1144538745 | Ellen Ross | Dentist | 1160 Johnson Ave, Suite 104, Bridgeport, WV 26330-1487 | 2010-09-16 |
| 1790863744 | Psychiatric Associates | Psychiatry & Neurology | 1160 Johnson Ave, Ste 105, Bridgeport, WV 26330 | 2006-11-01 |
| 1720165954 | John Gregory Moore | Dentist | 1160 Johnson Ave, Suite 104, Bridgeport, WV 26330-1487 | 2006-11-01 |
| 1700974185 | Amos Wesley Wilkinson | Ophthalmology | 1160 Johnson Ave, Ste 103, Bridgeport, WV 26330-1487 | 2006-10-10 |
| 1285669291 | David Forrest Colvin | Psychiatry & Neurology | 1160 Johnson Ave, Suite 105, Bridgeport, WV 26330 | 2006-07-11 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344858 | Kevin Douglas Junkins | Psychiatry & Neurology | 65 Professional Pl Ste 102, Bridgeport, WV 26330 | 2012-04-02 |
| 1063548899 | Reginald Anthony Hoffler | Psychiatry & Neurology | 1106 North Ave, Bridgeport, CT 06604-2710 | 2007-02-26 |
| 1649326075 | Muhammad Salman | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2007-01-26 |
| 1629185764 | Chiman I Patel LLC | Psychiatry & Neurology | 144 Golden Hill St, Suite 202, Bridgeport, CT 06604-4117 | 2006-08-24 |
| 1801898804 | Jose A Camacho-pantoja | Psychiatry & Neurology | 46 Albion St, Southwest Community Health Center, Inc, Bridgeport, CT 06605-2602 | 2005-08-10 |
| 1659378354 | Toni B Goodykoontz | Psychiatry & Neurology | 1400 Johnson Ave, Suite 4h, Bridgeport, WV 26330-1063 | 2005-07-07 |
| 1336639947 | Jennifer April Howard | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2018-05-18 |
| 1659884690 | Nova Vita Medical PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-11-13 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| 1083092134 | Devesh Jalan | Psychiatry & Neurology | 2800 Main St, Bridgeport, CT 06606-4292 | 2015-05-09 |
| Find all providers in BRIDGEPORT | ||||
| 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.