NPIMap

Organization Active NPI

Cheat Lake Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Morgantown, WV
National Provider Identifier
1508962754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CHEAT LAKE URGENT CARE PLLC
Practice address
710 Venture Dr
Morgantown, WV 26508-7306
Phone
(304) 291-5533
Fax
(304) 291-5548
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Mark Anderson, MDNPI 1629082243
Title
Managing Partner
Phone
(304) 291-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

710 Venture Dr
Morgantown, WV 26508-7306

Mailing address

710 Venture Dr
Morgantown, WV 26508-7306
Phone (304) 291-5533

National Provider Directory

National Provider Directory

Locations

710 Venture Dr
Morgantown, WV 26508
Phone (304) 291-5533

714 Venture Dr
#4869
Morgantown, WV 26508

714 Venture Dr
Ste 219
Morgantown, WV 26508

714 Venture Dr
Morgantown, WV 26508
Phone (713) 315-0906

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508962754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 VENTURE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087306",
            "telephone_number": "304-291-5533",
            "fax_number": "304-291-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VENTURE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265087306",
            "telephone_number": "304-291-5533",
            "fax_number": "304-291-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEAT LAKE URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "304-291-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.