Integrated Geriatric Care PLLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

INTEGRATED GERIATRIC CARE PLLC

Practice address

2801 Dudley Ave
Suite B
Parkersburg, WV 26101-2105

Phone

(304) 428-1114

Fax

(304) 428-1135

NPI assigned

May 16, 2006

Last updated

Nov 18, 2009By 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

Lance McCoy, M.D.NPI 1679578736

Title

President

Phone

(304) 428-1114

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Lance M McCoy Former legal business name

Locations

Practitioners 5

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.

• Lance Morgan McCoy, M.D.

  • Geriatric Psychiatry Physician
  • Parkersburg, WV
  • NPI 1679578736
  Authorized official Same address or phone
• Charmaine Y Dotson, LICSW

  • Clinical Social Worker
  • Parkersburg, WV
  • NPI 1346294105
  NPD (past)
• Fred Thomas Lee, PHD

  • Psychologist
  • Parkersburg, WV
  • NPI 1619972767

  Clinical

  NPD (past)
• Mary Jane Swecker, LICSW

  • Social Worker
  • Parkersburg, WV
  • NPI 1710982863
  NPD (past)
• Liza Gail Schaffner, MD

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1861401531
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1396797825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DUDLEY AVE",
            "address_2": "SUITE B",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012105",
            "telephone_number": "304-428-1114",
            "fax_number": "304-428-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DUDLEY AVE",
            "address_2": "SUITE B",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012105",
            "telephone_number": "304-428-1114",
            "fax_number": "304-428-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED GERIATRIC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-428-1114",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "19159",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2809090",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810010872",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lance M McCoy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Geriatric Psychiatry Physician in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Geriatric Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.