INTEGRATED HEALTH CARE PROVIDERS, INC. (NPI# 1861400632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861400632 |
| Entity Type | Organization |
| Organization Name | INTEGRATED HEALTH CARE PROVIDERS, INC. |
| Practice Address |
1201 Washington St E Ste 105 Charleston WV 25301-1850 |
| Mailing Address |
415 Morris St Ste 304 Charleston WV 25301-1853 |
| Practice Telephone | 3043881965 |
| Mailing Telephone | 3043887783 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | JEFF GOODE (PRESIDENT) |
| Authorized Official Telephone | 3043887783 |
| Authorized Official Credential | PT, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810009034 | 05 |
| 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 |
1201 WASHINGTON ST E STE 105 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| 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 |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| 1174846398 | Paul Walter Sanders | Urology | 18 Guerard Rd, Charleston, SC 29407-7549 | 2010-03-02 |
| 1093948283 | Samuel Dwane Thomas | Urology | 2 Wharfside St Apt 5e, Charleston, SC 29401-1653 | 2009-09-03 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1588722102 | Bashir R. Sankari | Urology | 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 | 2006-12-05 |
| 1053497453 | Ross Samuel Oliver Jr. | Urology | 2335 Chesterfield Avenue, Suite 101, Charleston, WV 25304-1066 | 2006-10-27 |
| 1205920261 | James P. Tierney | Urology | 11 Courtney Drive, Charleston, WV 25304 | 2006-10-03 |
| 1770524977 | Ryan H. Fitzwater | Urology | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2006-06-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
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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.