NPIMap

Organization Active NPI

Wheeling Hospital Inc

Doing business as Bridgeport Health Center

  • Family Medicine Physician
  • Bridgeport, OH
National Provider Identifier
1093230211
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHEELING HOSPITAL INC
Doing business as
Bridgeport Health Center
Practice address
55741 National Rd
Bridgeport, OH 43912-1528
Phone
(740) 635-4572
Fax
(740) 635-4575
NPI assigned
Aug 9, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janice Elaine Riesmeyer
Title
Credentialing Coordinator
Phone
(304) 243-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

55741 National Rd
Bridgeport, OH 43912-1528

Mailing address

1 Medical Park Business Office NTTC
Janice Riesmeyer
Wheeling, WV 26003-6379
Phone (304) 243-3124

Other names 1

  • Bridgeport Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000220 OH Part B Supplier - Clinic/Group Practice 5799689493 Receives reassigned benefits from 95 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clairsville, OH; Steubenville, OH; Shadyside, OH; Martins Ferry, OH; Dillonvale, OH; Cadiz, OH; Bridgeport, OH; Bellaire, OH…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory

Locations

55741 National Rd
Bridgeport, OH 43912
Phone (740) 633-9922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093230211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BUSINESS OFFICE NTTC",
            "address_2": "JANICE RIESMEYER",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3124",
            "fax_number": "304-243-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55741 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121528",
            "telephone_number": "740-635-4572",
            "fax_number": "740-635-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "RIESMEYER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "304-243-3124"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgeport Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.