PHYSICIAN OFFICE BUILDING- UHC (NPI# 1750682910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750682910 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN OFFICE BUILDING- UHC |
| Practice Address |
527 Medical Park Drive Suite 108 Bridgeport WV 26330-9007 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3048482150 |
| Mailing Telephone | 3042937401 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | ROBYN M MCDANIEL (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Telephone | 3042935033 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0011526000 | 05 |
| Street Address |
527 MEDICAL PARK DRIVE SUITE 108 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961669 | Richard Allen Douglas | Neurological Surgery | 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | 2005-12-05 |
| 1346730504 | Khaldoun Mohamad Mozahem | Psychiatry & Neurology | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2018-05-14 |
| 1659524635 | Advanced Diabetes & Endocrine Center | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2008-11-04 |
| 1023196391 | United Hospital Center, Inc | Anesthesiology | 527 Medical Park Drive, Ste 402, Bridgeport, WV 26330 | 2006-11-02 |
| 1306929476 | United Hospital Center, Inc | Neurological Surgery | 527 Medical Park Drive, Ste 401, Bridgeport, WV 26330 | 2006-10-23 |
| 1124114574 | Mazen Nashed | Internal Medicine | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2006-10-05 |
| 1003900283 | Saad Mossallati | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2006-10-03 |
| 1497847651 | James Lee Bryant II | Otolaryngology | 527 Medical Park Drive, Suite 501, Bridgeport, WV 26330 | 2006-09-28 |
| 1881709970 | Syed N Haq | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2006-08-20 |
| 1871531897 | Clarksburg Cardiology Consultants | Internal Medicine | 527 Medical Park Drive, Ste 306, Bridgeport, WV 26330-9008 | 2006-06-03 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760699078 | Matthew Jason Honaker | Obstetrics & Gynecology | 902 Lodgeville Rd, Bridgeport, WV 26330-1488 | 2007-05-17 |
| 1588781850 | Shabnam M. Kashani | Obstetrics & Gynecology | 4637 Main Street, Bridgeport, CT 06606-5048 | 2007-03-23 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1356432132 | Stephanie Klein | Obstetrics & Gynecology | 89 Hart St, Bridgeport, CT 06606 | 2006-09-27 |
| 1619076403 | Daniel Scott Gottschall | Obstetrics & Gynecology | 4797 Main St, Bridgeport, CT 06606 | 2006-09-21 |
| 1487682159 | Anthony Gerard Santomauro | Obstetrics & Gynecology | 4749 Main St, Bridgeport, CT 06606-1805 | 2006-06-29 |
| 1598704348 | Harold John Sauer | Obstetrics & Gynecology | Bridgeport Hospital, 267 Grand St, Bridgeport, CT 06610 | 2006-06-06 |
| 1063402584 | Djana Harp | Obstetrics & Gynecology | 510 Clinton Ave, Bridgeport, CT 06605-1701 | 2005-10-26 |
| 1285160200 | Wafa K Khadraoui | Obstetrics & Gynecology | 226 Mill Hill Ave, Bridgeport, CT 06610 | 2017-05-11 |
| 1952798613 | Ashley Bellamy | Obstetrics & Gynecology | 267 Grant St, Bridgeport, CT 06610-2805 | 2015-04-21 |
| 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.