Lance D Dubberke (NPI# 1871690115, PAC ID# 2264624352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1871690115 |
| PAC ID by PECOS | 2264624352 |
| Professional Enrollment ID | I20101007000741 |
| Full Name | Lance D Dubberke |
| Organization Legal Name | UNITED PHYSICIANS CARE INC |
| Address |
686 S Pike St Shinnston WV 26431-1043 |
| Phone Number | 6813423800 |
| Gender | M |
| Medical School | ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6103814017 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510006 | UNITED HOSPITAL CENTER |
| 510001 | WEST VIRGINIA UNIVERSITY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 626 Elk St, Gassaway, WV 26624-1136 | 3043642401 | UNITED PHYSICIANS CARE INC |
| 686 S Pike St, Shinnston, WV 26431-1043 | 6813423800 | UNITED PHYSICIANS CARE INC |
| Organization Legal Name | UNITED PHYSICIANS CARE INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Kitsos | Hospitalist | United Physicians Care Inc | 327 Medical Park Dr, Bridgeport, WV 26330-9006 |
| Frank Wiechers | Nurse Practitioner | United Physicians Care Inc | 177 Middletown Rd, Suite 1, Fairmont, WV 26554-8254 |
| Justin Hayes | Nurse Practitioner | United Physicians Care Inc | 710 Genesis Blvd, Bridgeport, WV 26330-9668 |
| Zachary Henry | Family Medicine | United Physicians Care Inc | 2373 W Main St, Suite 102, Salem, WV 26426-7515 |
| Lauren J Tomes | Family Medicine | United Physicians Care Inc | 14032 Barbour County Hwy, Philippi, WV 26416-7665 |
| Sarah Patrick | Nurse Practitioner | United Physicians Care Inc | 686 S Pike St, Shinnston, WV 26431-1043 |
| Melanie Douglas Soule | Nurse Practitioner | United Physicians Care Inc | 16 Sterling Dr, Bridgeport, WV 26330-9133 |
| Vigneshwaran Ramanathan | Internal Medicine | United Physicians Care Inc | 1511 Johnson Ave, Suite 104, Bridgeport, WV 26330-1016 |
| Angela Marie Mills | Family Medicine | United Physicians Care Inc | 134 Industrial Park Rd, Suite 200, Jane Lew, WV 26378-9785 |
| Frances Murray | Family Medicine | United Physicians Care Inc | 120 Medical Park Dr, Suite 300, Bridgeport, WV 26330-9013 |
| Street Address |
686 S PIKE ST |
| City | SHINNSTON |
| State | WV |
| Zip | 26431-1043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Patrick | Nurse Practitioner | United Physicians Care Inc | 686 S Pike St, Shinnston, WV 26431-1043 |
| Kristian M Morrison | Family Medicine | United Physicians Care Inc | 686 S Pike St, Shinnston, WV 26431-1043 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Hacker | Physical Therapy | Mountain State Physical Therapy LLC | 33 Walnut St, Shinnston, WV 26431-1154 |
| Robert Powelson | Optometry | 401 Pike St, Shinnston, WV 26431-1405 |
| City | SHINNSTON |
| Zip Code | 26431 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SHINNSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lance D Dubberke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.