UNIVERSITY CRITICAL CARE ASSOCIATES


Address: 185 Brockton Ln, Martinsburg, WV 25403-8372
Phone: 3042649080

UNIVERSITY CRITICAL CARE ASSOCIATES (NPI# 1467608760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467608760
Entity Type Organization
Organization Name UNIVERSITY CRITICAL CARE ASSOCIATES
Practice Address 185 Brockton Ln
Martinsburg
WV 25403-8372
Mailing Address Po Box 65156
Baltimore
MD 21209-0156
Practice Telephone 3042649080
Mailing Telephone 4107688899
Mailing Fax Number 2403310458
Enumeration Date 2008-08-18
Last Update Date 2008-08-20
Authorized Official Name DR. ROBERT BOWEN (PRESIDENT)
Authorized Official Telephone 3042649080
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 185 BROCKTON LN
City MARTINSBURG
State WV
Zip Code 25403-8372

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366912339 Elizabeth Hutzler Registered Nurse Berkeley County Brd of Education, 1453 Wincherster Avenue, Martinsubug, WV 25403 2018-12-03
1326442146 Jennifer Anne Markovits Pharmacist 1171 Horizon Way, Martinsburg, WV 25403 2014-10-22
1255763819 Parkhill Counseling, LLC Counselor 93 Crimson Cr., Martinsburg, WV 25403 2013-08-06
1265556039 Andrea Christina Petrucci Kackley Counselor 2914 Hedgesville Road, Apple Ridge Counseling Associates, Martinsburg, WV 25403 2007-03-19
1568935583 Joy Gesford Registered Nurse Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 2019-01-03
1295203818 Tina Cameron Registered Nurse Berkeley County Board of Education, 1453 Winchester Avenue, Martinsburg, WV 25403 2018-11-13
1376718882 Patricia M Hartman Dentist 50 Street of Dreams, Martinsburg, WV 25403 2008-04-25
1700217585 Thais Gonzalez Nurse's Aide 416 Gantt Dr, Martinsburg, WV 25403-0281 2013-12-04
1407319726 Kimberly Anne Saul Nurse Practitioner 3 Ceritos Trl, Martinsburg, WV 25403-0300 2019-04-12
1962745950 Jason Bryce Swalm Emergency Medicine 3 Ceritos Trail, Martinsburg, WV 25403-0300 2013-03-28
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124042684 Robert E Bowen Internal Medicine 2000 Foundation Way, Suite 2400, Martinsburg, WV 25401-9003 2006-07-27
1942264841 Anton Nicolescu Internal Medicine 510 Butler Ave, Martinsburg, WV 25405-9990 2006-04-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174861892 Min Jung Kim Internal Medicine 4619 Kanawha Avenue Sw, South Charleston, WV 25309 2013-01-30
1730435108 Chaitanya Mishra Internal Medicine 501 Morris St Ste 357, Charleston, WV 25301 2012-08-03
1720200744 Kevin L Eggleston Internal Medicine 4619 Kanawha Ave., Sw, South Charleston, WV 25309 2007-05-02
1841218872 Tamejiro Takubo Jr. Internal Medicine 4619 Kanawha Ave Sw, South Charleston, WV 25309-1319 2006-07-17
1710912399 Mark Nutter Griffith Internal Medicine 1000 Mon Health Medical Park Dr Ste 1102, Morgantown, WV 26505 2006-07-11
1497781082 Robby L Keith Internal Medicine 4619 Kanawha Avenue, Se, South Charleston, WV 25309 2006-06-24
1285607382 Mahendrakumar M. Patel Internal Medicine 6 Hunters Point Rd, Charleston, WV 25314-1631 2006-02-09
1033189766 Andrzej J Jaworski Internal Medicine 1000 Mon Health Medical Park Dr, Suite 1100, Morgantown, WV 26505-1104 2006-01-25
1285623108 David A Adkins Internal Medicine 3100 Maccorkle Ave Se Ste 205, Charleston, WV 25304-1228 2005-10-14
1871095711 Island Medical Bluefield LLC Internal Medicine 500 Cherry St, Bluefield, WV 24701 2018-03-07
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Competitor

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City MARTINSBURG
Zip Code 25403

Improve Information

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Dataset Information

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.

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