University Healthcare Physicians, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

UNIVERSITY HEALTHCARE PHYSICIANS, INC.

Doing business as

Harpers Ferry Family Medicine

Practice address

171 Taylor St
Harpers Ferry, WV 25425-3641

Phone

(304) 535-6343

NPI assigned

Nov 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Aaron Henry

Title

VP

Phone

(304) 264-9202

Specialties & licenses 8

Addresses

Other names 1

• Harpers Ferry Family Medicine Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

University Healthcare Physicians Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

• University Healthcare Physicians Inc

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1417371329
  NPD tax ID
• University Healthcare Physicians, Inc

  • Hematology & Oncology Physician
  • Martinsburg, WV
  • NPI 1083958565
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Urgent Care Clinic/Center
  • Martinsburg, WV
  • NPI 1043727787
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Audiologist
  • Martinsburg, WV
  • NPI 1427493881
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Urgent Care Clinic/Center
  • Inwood, WV
  • NPI 1437581733
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Urgent Care Clinic/Center
  • Charles Town, WV
  • NPI 1801140579
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Clinical Psychologist
  • Martinsburg, WV
  • NPI 1962806059
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Martinsburg, WV
  • NPI 1982048922
  NPD tax ID
• University Healthcare Physicians, Inc.

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1982311353
  NPD tax ID
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  NPD tax ID

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1366796013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FOUNDATION WAY",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019000",
            "telephone_number": "304-264-9202",
            "fax_number": "304-264-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TAYLOR ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253641",
            "telephone_number": "304-535-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "304-264-9202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WV",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harpers Ferry Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harpers Ferry Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Tice
• David Townsend Toleman, RPT
• Beth Troutman
• Uha Harpers Ferry Fam Med (Paasgrp)
• Jennifer Hope Umble, BCBA
• Thane Van Zomeren
• Jeremy Margarette Antero Vidal, MD
• Melissa Walters
• Aiden Ward
• Holly Weese

• Rural Health Clinic/Center in Harpers Ferry, WV
• Providers in Harpers Ferry, WV by specialty
• Rural Health Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.