NPIMap

Organization Active NPI

United Hospital Center, Inc

Doing business as Uhc Neurosurgery & Spine Center

  • Neurological Surgery Physician
  • Bridgeport, WV
National Provider Identifier
1306929476
Registry record updated Mar 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20050 Issued in WV
Legal business name
UNITED HOSPITAL CENTER, INC
Doing business as
Uhc Neurosurgery & Spine Center
Practice address
527 Medical Park Drive
Ste 401
Bridgeport, WV 26330
Phone
(681) 342-3500
Fax
(681) 342-3561
NPI assigned
Oct 23, 2006
Last updated
Mar 30, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED HOSPITAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2014

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

Authorized official

Name
Steven Meadows
Title
Director of Corporate Compliance
Phone
(681) 342-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 20050 WV Primary

Addresses

Primary practice location

527 Medical Park Drive
Ste 401
Bridgeport, WV 26330

Mailing address

527 Medical Park Drive
Ste 401
Bridgeport, WV 26330
Phone (681) 342-3500

Other identifiers 1

IdentifierTypeStateIssuer
000814588OtherWVBLUE CROSS SERVICE #

Other names 1

  • UHC NEUROSURGERY & SPINE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000802 WV Part B Supplier - Clinic/Group Practice 8123936010 Receives reassigned benefits from 473 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: White Hall, WV; Weston, WV; Summersville, WV; Nutter Fort, WV; Grafton, WV; Glenville, WV; Fairmont, WV; Elkins, WV…

Other NPIs on the same Medicare enrollment 27

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

View all 27

National Provider Directory

National Provider Directory
Part of
Saad Massallati MD

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396137600000",
    "number": "1306929476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE",
            "address_2": "STE 401",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-3500",
            "fax_number": "681-342-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DRIVE",
            "address_2": "STE 401",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-3500",
            "fax_number": "681-342-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPITAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED HOSPITAL CENTER INC",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-03-30",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "681-342-1610"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "20050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SERVICE #",
            "identifier": "000814588",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHC NEUROSURGERY & SPINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; 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.