MORGANTOWN SURGICAL ASSOCIATES INC (NPI# 1518040633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518040633 |
| Entity Type | Organization |
| Organization Name | MORGANTOWN SURGICAL ASSOCIATES INC |
| Practice Address |
200 Wedgewood Dr Suite 202 Morgantown WV 26505-2442 |
| Practice Telephone | 3045991448 |
| Practice Fax Number | 3045995335 |
| Mailing Telephone | 3045991448 |
| Mailing Fax Number | 3045995335 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | JEROME GORDON JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 3045991448 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OWPC | 610308000 | 01 | |
| WV | 0011401000 | 05 | |
| BLUE CROSS BLUE SHIELD | 001709635 | 01 | |
| MEDICAID OF OHIO | 2630675 | 01 | |
| UNISON | 64239 | 01 |
| Street Address |
200 WEDGEWOOD DR SUITE 202 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558336685 | Jann E Foley | Advanced Practice Midwife | 200 Wedgewood Dr, Suite 201, Morgantown, WV 26505-2442 | 2006-02-22 |
| 1609273242 | Monongalia County General Hospital Company | Surgery | 200 Wedgewood Dr, Suite 202, Morgantown, WV 26505-2442 | 2014-11-25 |
| 1194158600 | Monongalia County General Hospital Company | Psychiatry & Neurology | 200 Wedgewood Dr, Suite 203, Morgantown, WV 26505-2442 | 2013-08-20 |
| 1700134699 | Roger S. Barclay M.d. | Internal Medicine | 200 Wedgewood Dr, Suite 102, Morgantown, WV 26505-2442 | 2012-08-27 |
| 1013243682 | Frank Cantrell Griswold | Surgery | 200 Wedgewood Dr, Suite 202, Morgantown, WV 26505-2442 | 2009-11-02 |
| 1053538082 | Justin T Kupec | Internal Medicine | 200 Wedgewood Dr, Suite 202, Morgantown, WV 26505-2442 | 2007-04-19 |
| 1285717405 | Phillip Van Swearingen | Internal Medicine | 200 Wedgewood Dr, Suite 202, Morgantown, WV 26505-2442 | 2006-10-23 |
| 1376588079 | Roger Stevenson Barclay | Internal Medicine | 200 Wedgewood Dr, Ste 102, Morgantown, WV 26505 | 2006-06-17 |
| 1407801558 | Mohammed Ashraf | Obstetrics & Gynecology | 200 Wedgewood Dr, Suite 204, Morgantown, WV 26505 | 2006-05-24 |
| 1598730327 | Richard S. Kerr | Obstetrics & Gynecology | 200 Wedgewood Dr, Suite #201, Morgantown, WV 26505-2442 | 2006-02-23 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730437716 | Akkary Center for Weight Management & Surgical Services | Surgery | 1100 Fort Pierpont Dr, Morgantown, WV 26508-1329 | 2012-08-21 |
| 1780962704 | Pineview Surgery Pllc | Surgery | 1311 Pineview Dr Ste 200, Morgantown, WV 26505-3276 | 2011-07-25 |
| 1144487042 | Ehab A Akkary | Surgery | 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 | 2008-05-19 |
| 1194911107 | Ferdinand C Martinez | Surgery | 3000 Mon Health Medical Park Dr Ste 3201, Morgantown, WV 26505-1170 | 2007-09-24 |
| 1255538575 | Jennifer Christine Knight | Surgery | 101 Stadium Dr., Morgantown, WV 26506 | 2007-06-29 |
| 1871682468 | David C Blass | Surgery | 261 Lakeview Dr, Morgantown, WV 26508-8081 | 2006-10-12 |
| 1710966098 | George Tittmann Record | Surgery | 341 Spruce St, Milan Puskar Health Right, Morgantown, WV 26505-5504 | 2006-01-13 |
| 1780661819 | William Hugh Burns | Surgery | 600 Suncrest Town Centre Dr Ste 310, Morgantown, WV 26505-1873 | 2005-12-29 |
| 1174508212 | Roger Edward King | Surgery | 600 Suncrest Towne Centre, Suite 310, Morgantown, WV 26505-1872 | 2005-12-13 |
| 1508359381 | Miles James Graves | Surgery | 101 Stadium Dr, Morgantown, WV 26506 | 2018-06-07 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on MORGANTOWN SURGICAL ASSOCIATES INC.
| 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.