INTEGRATED HEALTH CARE PROVIDERS, INC. (NPI# 1568730018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568730018 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH CARE PROVIDERS, INC. |
| Other Organization Name | GILBERT UROLOGY CLINIC |
| Practice Address |
202 Larry Joe Harless Drive Gilbert WV 25621 |
| Mailing Address |
415 Morris St Suite 304 Charleston WV 25301-1842 |
| Practice Telephone | 3046642500 |
| Practice Fax Number | 3046642997 |
| Mailing Telephone | 3043887782 |
| Mailing Fax Number | 3043887788 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | JEFFREY H. GOODE (PRESIDENT) |
| Authorized Official Telephone | 3043887782 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gilbert Urology Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1386981488 | Integrated Health Care Providers, Inc. | Urology | 707 Madison Avenue, Madison, WV 25130 | 2013-01-09 |
| 1477890630 | Integrated Health Care Providers, Inc. | Internal Medicine | 73 E 3rd Ave, Williamson, WV 25661-3530 | 2013-01-08 |
| 1154688141 | Integrated Health Care Providers, Inc. | Internal Medicine | 556 S Main St, Chapmanville, WV 25508-5001 | 2012-04-16 |
| 1730473026 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 1399 Hospital Dr, Hurricane, WV 25526-8709 | 2011-06-03 |
| 1528390366 | Integrated Health Care Providers, Inc. | Internal Medicine | 223 Maplewood Ave, Lewisburg, WV 24901-9459 | 2010-02-04 |
| 1225243785 | Integrated Health Care Providers, Inc. | Orthopaedic Surgery | 3703 Teays Valley Road, Hurricane, WV 25526-9645 | 2007-05-10 |
| 1699873240 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 830 Pennsylvania Ave Ste 205, Charleston, WV 25302-3389 | 2006-09-20 |
| 1982702528 | Integrated Health Care Providers, Inc. | Internal Medicine | 3100 Maccorkle Ave Se Ste 903, Charleston, WV 25304-1276 | 2006-09-20 |
| 1659489383 | Integrated Health Care Providers, Inc. | Emergency Medicine | 130 Goff Mountain Road, Cross Lanes, WV 25313 | 2006-08-25 |
| Street Address |
202 LARRY JOE HARLESS DRIVE |
| City | GILBERT |
| State | WV |
| Zip Code | 25621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022617 | Appalachian Rehab Centers, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Pob 1987, Gilbert, WV 25621 | 2006-11-22 |
| 1255777595 | Gilbert Ultrasound Services LLC | Clinic/Center | 202 Larry Joe Harless Drive, Suite 207, Gilbert, WV 25621 | 2013-05-14 |
| 1609116870 | Avery B Ritchie | Radiologic Technologist | 202 Larry Joe Harless Drive, Gilbert, WV 25621 | 2013-02-25 |
| 1942523931 | Lincoln County Primary Care Center, Inc. | Clinic/Center | 202 Larry Joe Harless Drive, Suite 205, Gilbert, WV 25621-1842 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669524 | Williamson Health & Wellness Center Inc | Clinic/Center | 2475 Rte 52, Gilbert, WV 25621 | 2018-08-21 |
| 1265734347 | Larry Edward Cole | Dentist | Rt 52 Main Street, Gilbert, Gilbert, WV 25621 | 2010-11-23 |
| 1396053484 | Mary Jane Phipps | Nurse Practitioner | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2010-09-22 |
| 1720206774 | Riverside Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 22 Larry Joe Harless, Gilbert, WV 25621 | 2007-04-23 |
| 1871719054 | Cameron Keith Hatfield | Pharmacist | 22 Larry Harless Drive, Gilbert, WV 25621 | 2007-04-17 |
| 1104042381 | Gary Lane Cunningham | Pharmacist | 22 Larry Joe Harless Dr., Gilbert, WV 25621 | 2007-04-17 |
| 1376572479 | Family Healthcare Associates Inc | Family Medicine | 6th Avenue & Vinus Street, Family Healthcare Associates Inc, Gilbert, WV 25621 | 2006-07-01 |
| 1225597628 | David Allen Hopkins II | Pharmacist | 292 Main Street, Gilbert, WV 25621 | 2019-03-15 |
| 1467925487 | Lincoln County Primary Care Center Inc | Pharmacy | 202 Larry Joe Harless Dr, Gilbert, WV 25621 | 2019-01-03 |
| 1770009615 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 292 Main St, Gilbert, WV 25621 | 2017-08-22 |
| Find all providers in zip 25621 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831367788 | Gideon David Richards | Urology | 2730 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1683 | 2008-02-13 |
| 1134319981 | Southwest Urologic Specialists, PC | Urology | 6007 E. Baseline Road, #105, Gilbert, AZ 85234-5044 | 2007-07-27 |
| 1144231895 | Arizona State Urological Institute LLC | Urology | 2730 S Val Vista Dr Building 13, Ste 177, Gilbert, AZ 85295-1683 | 2006-08-10 |
| 1427038199 | Barry M Krumholz | Urology | 690 E Warner Rd Bldg 5, Gilbert, AZ 85296-3054 | 2006-01-19 |
| 1740578632 | Joseph L Hsu | Urology | 2730 S Val Vista Dr, Bldg. # 13 Ste. # 177, Gilbert, AZ 85295-1675 | 2011-07-13 |
| 1780995670 | Casey Brant Lythgoe | Urology | 2730 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1683 | 2010-06-25 |
| 1750520771 | Namir J Shaba | Urology | 1501 N Gilbert Rd, Suite 204, Gilbert, AZ 85234-2390 | 2009-02-14 |
| 1164637054 | Joseph W. Mashni Jr. | Urology | 2646 E. Banner Gateway Drive, Gilbert, AZ 85234-2165 | 2007-05-14 |
| 1568564649 | Subbarao V Cherukuri | Urology | 2730 S Val Vista Dr, Bldg.#13, Suite 177, Gilbert, AZ 85295-1675 | 2006-09-01 |
| 1750492757 | Urologic Consultants PC | Urology | 2450 E Guadalupe Rd, Suite 102, Gilbert, AZ 85234-5116 | 2006-08-31 |
| Find all providers in GILBERT | ||||
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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.