NPIMap

Organization Active NPI

Ultimate Health Services, Inc.

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1356547210
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ULTIMATE HEALTH SERVICES, INC.
Practice address
401 Camden Rd
Huntington, WV 25704-2708
Phone
(304) 528-4600
Fax
(304) 697-0856
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Michael Sundall, CEO
Title
Cheif Executive Officer
Phone
(304) 528-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

401 Camden Rd
Huntington, WV 25704-2708

Mailing address

5170 US RT 60 East
Huntington, WV 25705-0000
Phone (304) 429-5594

Other identifiers 1

IdentifierTypeStateIssuer
3810006764MedicaidWVWESTMORELAND GROUP

Other names 1

  • Huntington Internal Medicine Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Huntington Internal Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1356547210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 US RT 60 EAST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257050000",
            "telephone_number": "304-429-5594",
            "fax_number": "304-429-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAMDEN RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257042708",
            "telephone_number": "304-528-4600",
            "fax_number": "304-697-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "SUNDALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "304-528-4600",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "WESTMORELAND GROUP",
            "identifier": "3810006764",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Internal Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.