NPIMap

Organization Active NPI

Weirton Medical Center

  • Psychiatric Hospital Unit
  • Weirton, WV
National Provider Identifier
1093876187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
120 Issued in WV
Legal business name
WEIRTON MEDICAL CENTER
Practice address
601 Colliers Way
Weirton, WV 26062-5014
Phone
(304) 797-6000
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Josepth P Endrich, MD
Title
Ceo
Phone
(304) 797-6136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 120 WV Primary

Addresses

Primary practice location

601 Colliers Way
Weirton, WV 26062-5014

Mailing address

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

Other identifiers 2

IdentifierTypeStateIssuer
9298808MedicaidOH
510023OtherCOVENTRY PRODUCTS

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ea592379-b0ed-4cfa-aa0c-6e5256a40b54/

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093876187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625014",
            "telephone_number": "304-797-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIRTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDRICH",
        "authorized_official_first_name": "JOSEPTH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-797-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "WV",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9298808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY PRODUCTS",
            "identifier": "510023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.