Doctors Specialty Care

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

DOCTORS SPECIALTY CARE

Doing business as

Addiction Center of WV

Practice address

27 Trovato St
Suite Number 103
Bridgeport, WV 26330-7002

Phone

(304) 623-6300

Fax

(304) 623-6302

NPI assigned

May 28, 2015

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Lauderman, D.O.

Title

Owner

Phone

(304) 623-6300

Specialties & licenses 1

Addresses

Other names 1

• Addiction Center of WV Doing business as

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1285013896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TROVATO ST,",
            "address_2": "SUITE NUMBER 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "304-623-6300",
            "fax_number": "304-623-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TROVATO ST",
            "address_2": "SUITE NUMBER 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263307002",
            "telephone_number": "304-623-6300",
            "fax_number": "304-623-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "LAUDERMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-623-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Center of WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey A Dodson, M.D.
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• Addiction Medicine (Family Medicine) Physician in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Addiction Medicine (Family Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.